Miller Fisher syndrome following BNT162b2 mRNA coronavirus 2019 vaccination

Abstract Background The coronavirus disease 2019 (COVID-19) pandemic, caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), began in late 2019. One of the vaccines approved against COVID-19 is the BNT162b2 mRNA COVID-19 vaccine (Pfizer/BioNTech). Case presentation We present the ca...

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Autores principales: Yamato Nishiguchi, Hirofumi Matsuyama, Kuniko Maeda, Akihiro Shindo, Hidekazu Tomimoto
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Lenguaje:EN
Publicado: BMC 2021
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Acceso en línea:https://doaj.org/article/fee589abc59e4fef94e0621dbf856380
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spelling oai:doaj.org-article:fee589abc59e4fef94e0621dbf8563802021-11-21T12:09:25ZMiller Fisher syndrome following BNT162b2 mRNA coronavirus 2019 vaccination10.1186/s12883-021-02489-x1471-2377https://doaj.org/article/fee589abc59e4fef94e0621dbf8563802021-11-01T00:00:00Zhttps://doi.org/10.1186/s12883-021-02489-xhttps://doaj.org/toc/1471-2377Abstract Background The coronavirus disease 2019 (COVID-19) pandemic, caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), began in late 2019. One of the vaccines approved against COVID-19 is the BNT162b2 mRNA COVID-19 vaccine (Pfizer/BioNTech). Case presentation We present the case of a 71-year-old man with no history of the SARS-CoV-2 infection or any recent viral or bacterial illnesses who presented with bilateral oculomotor palsy and limb ataxia after BNT162b2 mRNA COVID-19 vaccination. The diagnosis of Miller Fisher syndrome (MFS) was established based on physical examination, brain magnetic resonance imaging (MRI), cerebrospinal fluid analysis (CSF), and positron emission tomography (PET). There was no evidence of other predisposing infectious or autoimmune factors, and the period from COVID-19 vaccination to the appearance of neurological symptoms was similar to that of other vaccines and preceding events, such as infection. Conclusion Guillain–Barré syndrome (GBS) and its variants after COVID-19 vaccination are extremely rare. Note that more research is needed to establish an association between MFS and COVID-19 vaccines. In our opinion, the benefits of COVID-19 vaccination largely outweigh its risks.Yamato NishiguchiHirofumi MatsuyamaKuniko MaedaAkihiro ShindoHidekazu TomimotoBMCarticleMiller fisher syndromeGuillain–Barré syndromeSARS-CoV-2COVID-19VaccinationNeurology. Diseases of the nervous systemRC346-429ENBMC Neurology, Vol 21, Iss 1, Pp 1-6 (2021)
institution DOAJ
collection DOAJ
language EN
topic Miller fisher syndrome
Guillain–Barré syndrome
SARS-CoV-2
COVID-19
Vaccination
Neurology. Diseases of the nervous system
RC346-429
spellingShingle Miller fisher syndrome
Guillain–Barré syndrome
SARS-CoV-2
COVID-19
Vaccination
Neurology. Diseases of the nervous system
RC346-429
Yamato Nishiguchi
Hirofumi Matsuyama
Kuniko Maeda
Akihiro Shindo
Hidekazu Tomimoto
Miller Fisher syndrome following BNT162b2 mRNA coronavirus 2019 vaccination
description Abstract Background The coronavirus disease 2019 (COVID-19) pandemic, caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), began in late 2019. One of the vaccines approved against COVID-19 is the BNT162b2 mRNA COVID-19 vaccine (Pfizer/BioNTech). Case presentation We present the case of a 71-year-old man with no history of the SARS-CoV-2 infection or any recent viral or bacterial illnesses who presented with bilateral oculomotor palsy and limb ataxia after BNT162b2 mRNA COVID-19 vaccination. The diagnosis of Miller Fisher syndrome (MFS) was established based on physical examination, brain magnetic resonance imaging (MRI), cerebrospinal fluid analysis (CSF), and positron emission tomography (PET). There was no evidence of other predisposing infectious or autoimmune factors, and the period from COVID-19 vaccination to the appearance of neurological symptoms was similar to that of other vaccines and preceding events, such as infection. Conclusion Guillain–Barré syndrome (GBS) and its variants after COVID-19 vaccination are extremely rare. Note that more research is needed to establish an association between MFS and COVID-19 vaccines. In our opinion, the benefits of COVID-19 vaccination largely outweigh its risks.
format article
author Yamato Nishiguchi
Hirofumi Matsuyama
Kuniko Maeda
Akihiro Shindo
Hidekazu Tomimoto
author_facet Yamato Nishiguchi
Hirofumi Matsuyama
Kuniko Maeda
Akihiro Shindo
Hidekazu Tomimoto
author_sort Yamato Nishiguchi
title Miller Fisher syndrome following BNT162b2 mRNA coronavirus 2019 vaccination
title_short Miller Fisher syndrome following BNT162b2 mRNA coronavirus 2019 vaccination
title_full Miller Fisher syndrome following BNT162b2 mRNA coronavirus 2019 vaccination
title_fullStr Miller Fisher syndrome following BNT162b2 mRNA coronavirus 2019 vaccination
title_full_unstemmed Miller Fisher syndrome following BNT162b2 mRNA coronavirus 2019 vaccination
title_sort miller fisher syndrome following bnt162b2 mrna coronavirus 2019 vaccination
publisher BMC
publishDate 2021
url https://doaj.org/article/fee589abc59e4fef94e0621dbf856380
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AT kunikomaeda millerfishersyndromefollowingbnt162b2mrnacoronavirus2019vaccination
AT akihiroshindo millerfishersyndromefollowingbnt162b2mrnacoronavirus2019vaccination
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