Epileptic Seizure in Epilepsy Patients After SARS-CoV-2 Vaccination
Study Details
Study Description
Brief Summary
Background and Objectives: Seizure attack is one of adverse effects of vaccination in epileptic patients, the risk of which after severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) inoculation was elucidated in the present study.
Methods: A self-controlled case series study was designed to examine the association between vaccination and epileptic seizure. A total of 240 epilepsy patients were included who were vaccinated with inactive SARS-CoV-2 vaccines (Sinovac Life Sciences and Lanzhou Institute of Biological Products) and admitted to outpatient clinics from July 2021 to December 2021. Poisson analysis was performed to estimate the relative incidence rate of epileptic seizure in risk periods (day 1-7, 8-21 and 1-21 after first-dose vaccination) compared to basal level in control period.
Condition or Disease | Intervention/Treatment | Phase |
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Study Design
Outcome Measures
Primary Outcome Measures
- Risk of epileptic seizures within 21 days after first-dose vaccination with inactive SARS-CoV-2 vaccine in epilepsy patients [from 90 days before until 21 days after the first dose of vaccine]
Overall relative incidence of epileptic seizures in risk periods compared to control period.
- Risk of epileptic seizures in epilepsy patients of different subgroups [from 90 days before until 21 days after the first dose of vaccine]
The associations of sex, age or medication status with the relative incidence in risk periods
Eligibility Criteria
Criteria
Inclusion Criteria:
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Male or female participants
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Have a diagnosis of epilepsy by the end of the study
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Have received at least one dose of inactive SARS-Cov-2 vaccine (Sinovac Life Sciences and Sinopharm Group)
Exclusion Criteria:
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Non-epilepsy patients vaccinated with inactive SARS-Cov-2 vaccine
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Epilepsy patients administrated with non-inactive vaccine
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Unvaccinated epilepsy patients
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Xijing Hospital | Xi'an | Shaanxi | China | 710000 |
Sponsors and Collaborators
- Xijing Hospital
Investigators
- Principal Investigator: Gengyao Hu, doctor, Air Force Military Medical University, China
- Principal Investigator: Ze Chen, master, Air Force Military Medical University, China
- Principal Investigator: Kejian Wu, doctor, Air Force Military Medical University, China
- Principal Investigator: Yuanhang Pan, master, Air Force Military Medical University, China
- Principal Investigator: Xia Li, master, Xian Children's Hospital
- Study Director: Junxiang Bao, doctor, Air Force Military Medical University, China
- Study Chair: Yonghong Liu, doctor, Air Force Military Medical University, China
Study Documents (Full-Text)
None provided.More Information
Publications
- Arnheim-Dahlström L, Hällgren J, Weibull CE, Sparén P. Risk of presentation to hospital with epileptic seizures after vaccination with monovalent AS03 adjuvanted pandemic A/H1N1 2009 influenza vaccine (Pandemrix): self controlled case series study. BMJ. 2012 Dec 18;345:e7594. doi: 10.1136/bmj.e7594.
- Cabezudo-García P, Ciano-Petersen NL, Mena-Vázquez N, Pons-Pons G, Castro-Sánchez MV, Serrano-Castro PJ. Incidence and case fatality rate of COVID-19 in patients with active epilepsy. Neurology. 2020 Sep 8;95(10):e1417-e1425. doi: 10.1212/WNL.0000000000010033. Epub 2020 Jun 17.
- Frontera JA, Sabadia S, Lalchan R, Fang T, Flusty B, Millar-Vernetti P, Snyder T, Berger S, Yang D, Granger A, Morgan N, Patel P, Gutman J, Melmed K, Agarwal S, Bokhari M, Andino A, Valdes E, Omari M, Kvernland A, Lillemoe K, Chou SH, McNett M, Helbok R, Mainali S, Fink EL, Robertson C, Schober M, Suarez JI, Ziai W, Menon D, Friedman D, Friedman D, Holmes M, Huang J, Thawani S, Howard J, Abou-Fayssal N, Krieger P, Lewis A, Lord AS, Zhou T, Kahn DE, Czeisler BM, Torres J, Yaghi S, Ishida K, Scher E, de Havenon A, Placantonakis D, Liu M, Wisniewski T, Troxel AB, Balcer L, Galetta S. A Prospective Study of Neurologic Disorders in Hospitalized Patients With COVID-19 in New York City. Neurology. 2021 Jan 26;96(4):e575-e586. doi: 10.1212/WNL.0000000000010979. Epub 2020 Oct 5.
- Frontera JA, Tamborska AA, Doheim MF, Garcia-Azorin D, Gezegen H, Guekht A, Yusof Khan AHK, Santacatterina M, Sejvar J, Thakur KT, Westenberg E, Winkler AS, Beghi E; contributors from the Global COVID-19 Neuro Research Coalition. Neurological Events Reported after COVID-19 Vaccines: An Analysis of VAERS. Ann Neurol. 2022 Mar 2. doi: 10.1002/ana.26339. [Epub ahead of print]
- Massoud F, Ahmad SF, Hassan AM, Alexander KJ, Al-Hashel J, Arabi M. Safety and tolerability of the novel 2019 coronavirus disease (COVID-19) vaccines among people with epilepsy (PwE): A cross-sectional study. Seizure. 2021 Nov;92:2-9. doi: 10.1016/j.seizure.2021.08.001. Epub 2021 Aug 6.
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