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Multifocal motor neuropathy after SARS-CoV-2 vaccination: a causal or coincidental association?
Fettah Eren1, Recep Aygul1, Sevde Tenekeci1
1Selcuk University, School of Medicine, Department of Neurology, Konya, Turkey.
Abstract:
Multifocal motor neuropathy (MMN) is an immune-mediated and acquired demyelinating motor polyneuropathy. Several cases of polyneuropathy associated with severe acquired respiratory syndrome coronavirus 2 (SARS-CoV-2) vaccination have been reported. However, MMN has not been reported as a complication of SARS-CoV-2 vaccination. In this study, we report a case of MMN with progressive muscle weakness following the second dose of the Pfizer-BioNTech mRNA vaccine. It was diagnosed by clinical evaluation and electroneuromyography. SARS-CoV-2 vaccination is increasing rapidly all over the world. Some cases of polyneuropathy, especially Guillain-Barré syndrome, have been reported after vaccination. This is the first case report of MMN after SARS-CoV-2 vaccination.
Insights
Multifocal motor neuropathy (MMN) is a rare condition. This study reports the first case of MMN developing after the Pfizer-BioNTech COVID-19 vaccine, highlighting a potential neurological complication.
Area of Science:
- Neurology
- Immunology
- Vaccinology
Background:
- Multifocal motor neuropathy (MMN) is an immune-mediated demyelinating polyneuropathy affecting motor nerves.
- While various neuropathies have been reported post-SARS-CoV-2 vaccination, MMN has not been previously documented.
Observation:
- A case of MMN is presented in a patient who developed progressive muscle weakness after the second dose of the Pfizer-BioNTech mRNA vaccine.
- Diagnosis was confirmed through clinical assessment and electroneuromyography.
Findings:
- This is the first reported instance of MMN occurring subsequent to SARS-CoV-2 vaccination.
- The temporal association suggests a potential link between the vaccine and MMN development.
Implications:
- This case expands the spectrum of potential neurological adverse events associated with SARS-CoV-2 vaccines.
- Further investigation is warranted to understand the immunopathological mechanisms and incidence of MMN post-vaccination.
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