Neuromyotonia with Central Nervous System Lesions following Quadrivalent Human Papilloma Virus Vaccination

Neuromyotonia is a rare peripheral nerve hyperexcitability syndrome often associated with antibodies directed against contactin-associated protein-like 2 and leucine-rich, glioma inactivated 1. The quadrivalent human papilloma virus vaccine Gardasil<sup>®</sup>, first approved in 2006, i...

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Main Authors: Maryam Hatami, Moritz Förster, Vivien Weyers, Saskia Räuber, Sven G. Meuth, David Kremer
Format: Article
Language:English
Published: MDPI AG 2022-07-01
Series:Vaccines
Subjects:
Online Access:https://www.mdpi.com/2076-393X/10/7/1132
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author Maryam Hatami
Moritz Förster
Vivien Weyers
Saskia Räuber
Sven G. Meuth
David Kremer
author_facet Maryam Hatami
Moritz Förster
Vivien Weyers
Saskia Räuber
Sven G. Meuth
David Kremer
author_sort Maryam Hatami
collection DOAJ
description Neuromyotonia is a rare peripheral nerve hyperexcitability syndrome often associated with antibodies directed against contactin-associated protein-like 2 and leucine-rich, glioma inactivated 1. The quadrivalent human papilloma virus vaccine Gardasil<sup>®</sup>, first approved in 2006, is known to be a highly effective prophylaxis against papillomavirus types 6, 11, 16, and 18. Molecularly, this non-infectious recombinant vaccine is based on purified L1 proteins from the human papilloma virus capsid. Since the approval of this vaccine, several studies have investigated its safety regarding the occurrence of autoimmune conditions following application. Here, we present the first case of neuromyotonia with active Gadolinium enhancing demyelinating central nervous system lesions following vaccination with Gardasil<sup>®</sup>.
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spelling doaj.art-8d2ba642bbdb4f418be2aeed5cd536d32023-12-03T12:23:25ZengMDPI AGVaccines2076-393X2022-07-01107113210.3390/vaccines10071132Neuromyotonia with Central Nervous System Lesions following Quadrivalent Human Papilloma Virus VaccinationMaryam Hatami0Moritz Förster1Vivien Weyers2Saskia Räuber3Sven G. Meuth4David Kremer5Department of Neurology, University Hospital Düsseldorf, Medical Faculty, Heinrich Heine University, 40225 Düsseldorf, GermanyDepartment of Neurology, University Hospital Düsseldorf, Medical Faculty, Heinrich Heine University, 40225 Düsseldorf, GermanyDepartment of Neurology, University Hospital Düsseldorf, Medical Faculty, Heinrich Heine University, 40225 Düsseldorf, GermanyDepartment of Neurology, University Hospital Düsseldorf, Medical Faculty, Heinrich Heine University, 40225 Düsseldorf, GermanyDepartment of Neurology, University Hospital Düsseldorf, Medical Faculty, Heinrich Heine University, 40225 Düsseldorf, GermanyDepartment of Neurology, University Hospital Düsseldorf, Medical Faculty, Heinrich Heine University, 40225 Düsseldorf, GermanyNeuromyotonia is a rare peripheral nerve hyperexcitability syndrome often associated with antibodies directed against contactin-associated protein-like 2 and leucine-rich, glioma inactivated 1. The quadrivalent human papilloma virus vaccine Gardasil<sup>®</sup>, first approved in 2006, is known to be a highly effective prophylaxis against papillomavirus types 6, 11, 16, and 18. Molecularly, this non-infectious recombinant vaccine is based on purified L1 proteins from the human papilloma virus capsid. Since the approval of this vaccine, several studies have investigated its safety regarding the occurrence of autoimmune conditions following application. Here, we present the first case of neuromyotonia with active Gadolinium enhancing demyelinating central nervous system lesions following vaccination with Gardasil<sup>®</sup>.https://www.mdpi.com/2076-393X/10/7/1132neuromyotoniahuman papilloma virusquadrivalent vaccinecentral nervous system lesions
spellingShingle Maryam Hatami
Moritz Förster
Vivien Weyers
Saskia Räuber
Sven G. Meuth
David Kremer
Neuromyotonia with Central Nervous System Lesions following Quadrivalent Human Papilloma Virus Vaccination
Vaccines
neuromyotonia
human papilloma virus
quadrivalent vaccine
central nervous system lesions
title Neuromyotonia with Central Nervous System Lesions following Quadrivalent Human Papilloma Virus Vaccination
title_full Neuromyotonia with Central Nervous System Lesions following Quadrivalent Human Papilloma Virus Vaccination
title_fullStr Neuromyotonia with Central Nervous System Lesions following Quadrivalent Human Papilloma Virus Vaccination
title_full_unstemmed Neuromyotonia with Central Nervous System Lesions following Quadrivalent Human Papilloma Virus Vaccination
title_short Neuromyotonia with Central Nervous System Lesions following Quadrivalent Human Papilloma Virus Vaccination
title_sort neuromyotonia with central nervous system lesions following quadrivalent human papilloma virus vaccination
topic neuromyotonia
human papilloma virus
quadrivalent vaccine
central nervous system lesions
url https://www.mdpi.com/2076-393X/10/7/1132
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