Hemiparesis following influenza vaccination.

نویسندگان

  • N Selvaraj
  • M Moonis
  • P Ravin
چکیده

Accepted 10 March 1998 A 72-year-old woman presented with subacute, non-progressive weakness ofher left hand 2 weeks after receiving an influenza vaccination. Her spouse had noticed that she was walking unsteadily, with a tendency to fall to the left side. She also drooled from the left angle of the mouth. She denied any headache, fever, neck pain, alteration in consciousness or seizures. She had no other medical illnesses. She worked as a hair stylist and had stopped smoking 27 years ago. She took no medications. On clinical examination, she was afebrile. Her higher mental functions including speech and language were normal. Her left lower face was weak. Other cranial nerves were normal. Her left arm strength was (MRC) 4-/5 with her left leg being 4+/5. She had normal strength in her right side. Deep tendon reflexes were 3+ in her left arm and leg, and 2+ on the right side. Babinski's sign was present on the left side. She had no sensory loss and her cerebellar functions were intact. There were no signs of meningeal irritation. Her other systems examination was normal. Brain magnetic resonance imaging (MRI) was carried out (figure 1).

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Influenza Vaccine-Induced CNS Demyelination in a 50-Year-Old Male

PATIENT Male, 50. FINAL DIAGNOSIS Acute post-vaccination CNS demyelinating disorder. SYMPTOMS Blurred vision • hemiparesis • hemiplegia • hypertonia • itching • paresthesia. MEDICATION -. CLINICAL PROCEDURE MRI. SPECIALTY Neurology. OBJECTIVE Rare disease. BACKGROUND There are several categories of primary inflammatory demyelinating disorders, which comprise clinically similar neu...

متن کامل

Epiglottitis in Pre and Post Haemophilus Influenza Type-b Vaccine Era: A Systematic Review and Meta-analysis

Background and purpose: Epiglottitis is an uncommon life threatening pediatric disease. Evidence suggests some changes in etiology and incidence of this disease after vaccination against H-influenza type b. This Meta-analysis and systematic review aimed at investigating the etiology and incidence of acute epiglottitis in pre and post H-influenza vaccination era. Materials and methods: A system...

متن کامل

Factors influencing influenza vaccination among nurses in teaching hospitals of Yazd University of Medical Sciences in 2011

Background and Purpose: Influenza (flu) causes many hospitalization and death in the year. It is recommended health care workers (HCW) receive the annual flu vaccine. But studies have shown that a few of medical staffs are vaccinated against flu. This study was conducted to determine the incentives and disincentives of flu vaccination in nurses. Methods: This cross-sectional study was conducted...

متن کامل

Synbiotic enhances immune responses against infectious bronchitis, infectious bursal disease, Newcastle disease and avian influenza in broiler chickens

Increased susceptibility of birds to avian pathogens in intensive husbandry system has emphasized on necessity of improvement of innate and specific immune responses of birds by the fast establishment of a beneficial microflora and immune stimulator factors to guarantee healthy and low-price products. During this study, 192 one-day-old broiler chicks (Ross-380) in four groups with three replica...

متن کامل

Knowledge and practice about influenza vaccination and compliance with influenza immunization among pregnant women in Sari, 2013

Background and Purpose: Pregnant women are at a higher risk of influenza infection, and influenza vaccination is recommended for these women to reduce the associated complications. This study aimed to determine the knowledge and practice about influenza vaccination and identify the factors influencing compliance with influenza immunization among pregnant women. Methods: This cross-sectional ...

متن کامل

Anti-influenza antibody Level after Vaccination

Abstract: Introduction: Influenza is highly transmitted disease and vaccination is the most effective way to prevent influenza. This research was designed to study the variation of serum antibody level among the subjects had already been vaccinated against influenza. Materials and Methods: This research is a descriptive-analytical study, which was carried out on 196 subjects who had influenza v...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:
  • Postgraduate medical journal

دوره 74 876  شماره 

صفحات  -

تاریخ انتشار 1998