2021
DOI: 10.1016/j.jns.2021.118186
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Inflammatory optic neuropathy following SARS-CoV-2 mRNA vaccine: Description of two cases

Abstract: Background and aimsFluoxetine is a selective serotonin reuptake inhibitor, which also has an immunomodulatory effect. This study aimed to clarify the influence of fluoxetine on Th17-cells, which plays a crucial role in MS pathogenesis. MethodsThirty MS patients and twenty controls were examined. To assess the effect of fluoxetine on Th17-cells, CD4 + T-cells were cultured in the presence of fluoxetine and stimulated with anti-CD3/anti-CD28antibodies. To study the involvement of 5-HT2b-receptor in fluoxetine-me… Show more

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Cited by 6 publications
(3 citation statements)
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“…Elevated levels of Ang II is a causal factor in neurodegeneration of the optic nerve, causing optic neuritis, which can result in severe irreversible visual loss ( Guo et al, 2017 ). Multiple case reports have described cases of optic neuropathy appearing shortly after mRNA vaccination for COVID-19 ( Maleki, 2021 ; Barone et al, 2021 ). Other debilitating neurological conditions are also appearing shortly after vaccination, where a causal relationship is suspected.…”
Section: Guillain Barré Syndrome and Neurologic Injury Syndromesmentioning
confidence: 99%
“…Elevated levels of Ang II is a causal factor in neurodegeneration of the optic nerve, causing optic neuritis, which can result in severe irreversible visual loss ( Guo et al, 2017 ). Multiple case reports have described cases of optic neuropathy appearing shortly after mRNA vaccination for COVID-19 ( Maleki, 2021 ; Barone et al, 2021 ). Other debilitating neurological conditions are also appearing shortly after vaccination, where a causal relationship is suspected.…”
Section: Guillain Barré Syndrome and Neurologic Injury Syndromesmentioning
confidence: 99%
“…The Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) flow chart is shown in figure 1. There were 34 studies of ON following COVID-19 infection,12–45 and an equal number of publications reported patients with ON post-COVID-19 vaccination 46–78. There were 19 case series and the remaining 49 were case reports.…”
Section: Resultsmentioning
confidence: 99%
“…Overexpression of Ang II is a causal factor in neurodegeneration of the optic nerve, causing optic neuritis, which can result in severe irreversible visual loss [180]. Multiple case reports have described cases of optic neuropathy appearing shortly after mRNA vaccination for COVID-19 [181,182]. Other debilitating neurological conditions are also appearing shortly after vaccination, where a causal relationship is suspected.…”
Section: Guillain Barré Syndrome and Other Neurological Conditionsmentioning
confidence: 99%