Evidence mapPaperPMID 37515255Full record

ReviewViruses2023

The Potential Role of SARS-CoV-2 Infection and Vaccines in Multiple Sclerosis Onset and Reactivation: A Case Series and Literature Review.

Eleonora Tavazzi, Anna Pichiecchio, Elena Colombo, Eleonora Rigoni, Carlo Asteggiano, Elisa Vegezzi, Francesco Masi, Giacomo Greco, Stefano Bastianello, Roberto Bergamaschi

Open access · goldAbstract readReview
In one paragraph

Review in Viruses, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.7field-weighted citation impact, top 16% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 9 citations in OpenAlex.

  1. COVID-19 and Radiological Progression of Multiple Sclerosis.Diagnostics (Basel, Switzerland) · 2026
    Article
  2. Article
  3. Article
  4. Observational
  5. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 1 institution in 1 country.

Eleonora TavazziIRCCS Mondino Foundation, 27100 Pavia, Italy.ORCID 0000-0003-2580-3646
Anna PichiecchioIRCCS Mondino Foundation, 27100 Pavia, Italy.ORCID 0000-0002-5654-4088
Elena ColomboIRCCS Mondino Foundation, 27100 Pavia, Italy.ORCID 0000-0002-5265-5055
Eleonora RigoniIRCCS Mondino Foundation, 27100 Pavia, Italy.ORCID 0000-0001-9669-0234
Carlo AsteggianoIRCCS Mondino Foundation, 27100 Pavia, Italy.ORCID 0000-0002-1439-3293
Elisa VegezziIRCCS Mondino Foundation, 27100 Pavia, Italy.
Francesco MasiIRCCS Mondino Foundation, 27100 Pavia, Italy.ORCID 0009-0000-7048-6307
Giacomo GrecoIRCCS Mondino Foundation, 27100 Pavia, Italy.ORCID 0000-0001-8097-0565
Stefano BastianelloDepartment of Brain and Behavioural Sciences, University of Pavia, 27100 Pavia, Italy.
Roberto BergamaschiIRCCS Mondino Foundation, 27100 Pavia, Italy.
University of Pavia · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The recent SARS-CoV-2 pandemic and related vaccines have raised several issues. Among them, the potential role of the viral infection (COVID-19) or anti-SARS-CoV-2 vaccines as causal factors of dysimmune CNS disorders, as well as the safety and efficacy of vaccines in patients affected by such diseases and on immune-active treatments have been analyzed. The aim is to better understand the relationship between SARS-CoV-2 infection/vaccines with dysimmune CNS diseases by describing 12 cases of multiple sclerosis/myelitis onset or reactivation after exposure to SARS-CoV-2 infection/vaccines and reviewing all published case reports or case series in which MS onset or reactivation was temporally associated with either COVID-19 (8 case reports, 3 case series) or anti-SARS-CoV-2 vaccines (13 case reports, 6 case series). All the cases share a temporal association between viral/vaccine exposure and symptoms onset. This finding, together with direct or immune-based mechanisms described both during COVID-19 and MS, claims in favor of a role for SARS-CoV-2 infection/vaccines in unmasking dysimmune CNS disorders. The most common clinical presentations involve the optic nerve, brainstem and spinal cord. The preferential tropism of the virus together with the presence of some host-related genetic/immune factors might predispose to the involvement of specific CNS districts.

Indexed as

COVID-19COVID-19 VaccinesMultiple SclerosisHumansSARS-CoV-2Viral VaccinesCOVID-19 VaccinesViral VaccinesCNS dysimmune disordersCOVID-19multiple sclerosismyelitisSARS-CoV-2vaccines

Identifiers

PMID37515255
PMCPMC10385211
OpenAlexW4384827144

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.