Your browser doesn't support javascript.
Show: 20 | 50 | 100
Results 1 - 3 de 3
J Neuroimmunol ; 358: 577661, 2021 09 15.
Article in English | MEDLINE | ID: covidwho-1307055


We describe the first case of hyperacute reversible encephalopathy following COVID-19 vaccination. A patient presented with acute onset encephalopathy, mainly characterized by agitation and confusion, rapidly responsive to high dosage steroid therapy and complete remission within 3 days from onset. The clinical manifestation was related with systemic and CSF cytokine hyperproduction, responsive to steroid therapy. Although the occurrence of encephalopathy after vaccination may be just a casual temporal association, we speculate that the cytokine-storm could be the result of an excessive innate immune response against the vaccine, in a predisposed patient susceptible to autoimmunity.

Brain Diseases/chemically induced , Brain Diseases/diagnostic imaging , COVID-19 Vaccines/adverse effects , Cytokine Release Syndrome/chemically induced , Cytokine Release Syndrome/diagnostic imaging , Acute Disease , Aged , Brain Diseases/drug therapy , COVID-19 Vaccines/administration & dosage , Cytokine Release Syndrome/drug therapy , Humans , Male , Prednisone/administration & dosage
J Neurol ; 268(4): 1179-1187, 2021 Apr.
Article in English | MEDLINE | ID: covidwho-743721


BACKGROUND: If Parkinson's Disease (PD) may represent a risk factor for Coronavirus disease 2019 (COVID-19) is debated and there are few data on the direct and indirect effects of this pandemic in PD patients. OBJECTIVE: In the current study we evaluated the prevalence, mortality and case-fatality of COVID-19 in a PD cohort, also exploring possible risk factors. We also aimed to investigate the effect of lockdown on motor/non-motor symptoms in PD patients as well as their acceptability/accessibility to telemedicine. METHOD: A case-controlled survey about COVID-19 and other clinical features in PD patients living in Tuscany was conducted. In non-COVID-19 PD patients motor/non-motor symptoms subjective worsening during the lockdown as well as feasibility of telemedicine were explored. RESULTS: Out of 740 PD patients interviewed, 7 (0.9%) were affected by COVID-19, with 0.13% mortality and 14% case-fatality. COVID-19 PD patients presented a higher presence of hypertension (p < 0.001) and diabetes (p = 0.049) compared to non-COVID-19. In non-COVID-19 PD population (n = 733) about 70% did not experience a subjective worsening of motor symptoms or mood, anxiety or insomnia. In our population 75.2% of patients was favorable to use technology to perform scheduled visits, however facilities for telemedicine were available only for 51.2% of cases. CONCLUSION: A higher prevalence of COVID-19 respect to prevalence in Tuscany and Italy was found in the PD population. Hypertension and diabetes, as for general population, were identified as risk factors for COVID-19 in PD. PD patients did not experience a subjective worsening of symptoms during lockdown period and they were also favorable to telemedicine, albeit we reported a reduced availability to perform it.

COVID-19/complications , COVID-19/epidemiology , Parkinson Disease/complications , Aged , Case-Control Studies , Female , Humans , Italy/epidemiology , Male , Middle Aged , Parkinson Disease/virology , Patient Acceptance of Health Care , Prevalence , Risk Factors , SARS-CoV-2 , Surveys and Questionnaires , Telemedicine/methods