Immunization stress-related responses presenting as psychogenic non-epileptic seizures following HPV vaccination in Rio Branco, Brazil

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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorMARCHETTI, Renato Luiz
dc.contributor.authorGALLUCCI-NETO, Jose
dc.contributor.authorKURCGANT, Daniela
dc.contributor.authorPROENCA, Inah Carolina Galatro Faria
dc.contributor.authorVALIENGO, Leandro da Costa Lane
dc.contributor.authorFIORE, Lia Arno
dc.contributor.authorPINTO, Lecio Figueira
dc.contributor.authorMARANHAO, Ana Goretti Kalume
dc.contributor.authorOLIVEIRA, Maria Tereza da Costa
dc.contributor.authorOLIVEIRA, Lucia Helena de
dc.date.accessioned2020-12-16T15:08:16Z
dc.date.available2020-12-16T15:08:16Z
dc.date.issued2020
dc.description.abstractImportance: The absence of a positive diagnosis of psychogenic non-epileptic seizures (PNES) in immunization stress-related response (ISRR) clusters may have not only a direct impact on affected patients' health but may also reduce compliance to national vaccination programs. It is therefore crucial to develop efficient diagnostic tools and a feasible proposal for proper communication and treatment of ISRR. Purpose: To explore the psychogenic nature of patients' convulsive seizures in a suspected outbreak of an ISRR cluster following human papillomavirus vaccination in Rio Branco, Brazil. Methods: Twelve patients with convulsive seizures were submitted to prolonged intensive videoelectroencephalography monitoring, brain magnetic resonance imaging, cerebrospinal fluid diagnostic testing, laboratory subsidiary examinations, and complete neurological and psychiatric evaluations. Results: Ten patients received the positive diagnosis of PNES, and two patients received the diagnosis of idiopathic generalized epilepsy. No biological association was found between the HPV vaccine and the clinical problems presented by the patients. Conclusions: Prolonged VEEG monitoring can contribute significantly to the positive diagnosis of PNES in ISRR clusters and to avoid hesitancy to vaccinate.eng
dc.description.indexMEDLINEeng
dc.identifier.citationVACCINE, v.38, n.43, p.6714-6720, 2020
dc.identifier.doi10.1016/j.vaccine.2020.08.044
dc.identifier.eissn1873-2518
dc.identifier.issn0264-410X
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/38651
dc.language.isoeng
dc.publisherELSEVIER SCI LTDeng
dc.relation.ispartofVaccine
dc.rightsrestrictedAccesseng
dc.rights.holderCopyright ELSEVIER SCI LTDeng
dc.subjectHPV vaccinationeng
dc.subjectHPV immunizationeng
dc.subjectPsychogenic non-epileptic seizureseng
dc.subjectImmunization stress-related responseeng
dc.subjectImmunization anxiety-related reactioneng
dc.subjectMass psychogenic illnesseng
dc.subject.otherinternational leagueeng
dc.subject.othersick individualseng
dc.subject.otherilae commissioneng
dc.subject.otherposition papereng
dc.subject.otherdiagnosiseng
dc.subject.otherepilepsyeng
dc.subject.otherillnesseng
dc.subject.otherhysteriaeng
dc.subject.otherclassificationeng
dc.subject.otheroutbreakeng
dc.subject.wosImmunologyeng
dc.subject.wosMedicine, Research & Experimentaleng
dc.titleImmunization stress-related responses presenting as psychogenic non-epileptic seizures following HPV vaccination in Rio Branco, Brazileng
dc.typearticleeng
dc.type.categoryoriginal articleeng
dc.type.versionpublishedVersioneng
dspace.entity.typePublication
hcfmusp.affiliation.countryEstados Unidos
hcfmusp.affiliation.countryisous
hcfmusp.author.externalPROENCA, Inah Carolina Galatro Faria:Univ Sao Paulo, Dept & Inst Psychiat, Fac Med, Neuropsychiat Program, Rua Dr Ovidio Pires Campos 785, BR-05403903 Sao Paulo, SP, Brazil
hcfmusp.author.externalMARANHAO, Ana Goretti Kalume:Brazilian Minist Hlth, Natl Immunizat Program, Hlth Surveillance Secretariat, SRTVN,CGPNI, Quadra 701,Lote 3,Edificio PO 700,6 Andar, BR-70719040 Brasilia, DF, Brazil
hcfmusp.author.externalOLIVEIRA, Maria Tereza da Costa:Pan Amer Hlth Org, Immunizat Unit, Family Hlth Promot & Life Course, 525 Twenty Third St NW, Washington, DC USA
hcfmusp.author.externalOLIVEIRA, Lucia Helena de:Pan Amer Hlth Org, Immunizat Unit, Family Hlth Promot & Life Course, 525 Twenty Third St NW, Washington, DC USA
hcfmusp.citation.scopus18
hcfmusp.contributor.author-fmusphcRENATO LUIZ MARCHETTI
hcfmusp.contributor.author-fmusphcJOSE GALLUCCI NETO
hcfmusp.contributor.author-fmusphcDANIELA KURCGANT
hcfmusp.contributor.author-fmusphcLEANDRO DA COSTA LANE VALIENGO
hcfmusp.contributor.author-fmusphcLIA ARNO FIORE
hcfmusp.contributor.author-fmusphcLECIO FIGUEIRA PINTO
hcfmusp.description.beginpage6714
hcfmusp.description.endpage6720
hcfmusp.description.issue43
hcfmusp.description.volume38
hcfmusp.origemWOS
hcfmusp.origem.pubmed32878709
hcfmusp.origem.scopus2-s2.0-85090062342
hcfmusp.origem.wosWOS:000573427400005
hcfmusp.publisher.cityOXFORDeng
hcfmusp.publisher.countryENGLANDeng
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