Arterial intracranial thrombosis as the first manifestation of vaccine-induced immune thrombotic thrombocytopenia (VITT): a case report.


Journal

Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology
ISSN: 1590-3478
Titre abrégé: Neurol Sci
Pays: Italy
ID NLM: 100959175

Informations de publication

Date de publication:
Mar 2022
Historique:
received: 21 10 2021
accepted: 02 12 2021
pubmed: 14 1 2022
medline: 24 2 2022
entrez: 13 1 2022
Statut: ppublish

Résumé

We describe a severe case of vaccine-induced immune thrombotic thrombocytopenia (VITT) after the first dose of the ChAdOx1 nCoV-19 vaccine leading to massive ischemic stroke. A 42-year-old woman developed acute left hemiparesis (NIHSS 12) 9 days after the first vaccine dose. The blood tests revealed low platelets (70 10 Healthcare providers should be aware of the possibility of ischemic stroke as a manifestation of VITT. Awareness on this very rare and possibly fatal complication should be reinforced on both the vaccine recipients and general practitioners.

Identifiants

pubmed: 35022931
doi: 10.1007/s10072-021-05800-3
pii: 10.1007/s10072-021-05800-3
pmc: PMC8754523
doi:

Substances chimiques

COVID-19 Vaccines 0
Vaccines 0
ChAdOx1 nCoV-19 B5S3K2V0G8

Types de publication

Case Reports Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

2085-2089

Informations de copyright

© 2021. Fondazione Società Italiana di Neurologia.

Références

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Auteurs

Michelangelo Mancuso (M)

Department of Clinical and Experimental Medicine, Neurological Clinic, University of Pisa, Pisa, Italy. michelangelo.mancuso@unipi.it.

Dario Luca Lauretti (DL)

Department of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, Pisa, Italy.

Nadia Cecconi (N)

Clinical and Experimental Medicine, University of Pisa, Pisa, Italy.

Massimo Santini (M)

U.O. Medicina D'Urgenza E Pronto Soccorso, Emergency Department, Nuovo Santa Chiara Hospital, Azienda Ospedaliero-Universitaria of Pisa, Pisa, Italy.

Valentina Lami (V)

U.O. Medicina D'Urgenza E Pronto Soccorso, Emergency Department, Nuovo Santa Chiara Hospital, Azienda Ospedaliero-Universitaria of Pisa, Pisa, Italy.

Giovanni Orlandi (G)

Department of Clinical and Experimental Medicine, Neurological Clinic, University of Pisa, Pisa, Italy.

Sergio Casagli (S)

Neuroanestesia E Rianimazione, Nuovo Santa Chiara Hospital, Azienda Ospedaliero-Universitaria of Pisa, Pisa, Italy.

Antonella Ghetta (A)

Neuroanestesia E Rianimazione, Nuovo Santa Chiara Hospital, Azienda Ospedaliero-Universitaria of Pisa, Pisa, Italy.

Gaetano Liberti (G)

Neurosurgery Unit, Azienda Ospedaliero-Universitaria of Pisa, Pisa, Italy.

Benini Maria Elena (BM)

Neurosurgery Unit, Azienda Ospedaliero-Universitaria of Pisa, Pisa, Italy.

Gabriele Siciliano (G)

Department of Clinical and Experimental Medicine, Neurological Clinic, University of Pisa, Pisa, Italy.

Mirco Cosottini (M)

Department of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, Pisa, Italy.

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Classifications MeSH