WHAT IS ACUTE FLACCID MYELITIS?
Acute Flaccid Myelitis (AFM) is a variant or sub-type of transverse myelitis. AFM is inflammation of the spinal cord and generally presents with unique clinical and MRI features that are not typical of classical transverse myelitis. AFM abnormalities noted on MRI are predominantly found in the gray matter of the spinal cord. In 2013, an outbreak of what is now believed to be this sub-type of transverse myelitis occurred in California and more cases were reported in the summer and fall of 2014 across the United States. The enterovirus (EV-D68) has been suspect in many of these cases however, it has not been definitively proven that it is this particular virus that has caused the paralysis,1 although several cases of AFM occurred at around the same time as an outbreak of the EV-D68 virus.
So… AFM is one form of TM – Transverse Myelitis.
IS THERE EVIDENCE THAT VACCINES ARE ASSOCIATED WITH TRANSVERSE MYELITIS?
Transverse myelitis is a rare clinical syndrome in which an immune-mediated process causes neural injury to the spinal cord. The pathogenesis of transverse myelitis is mostly of an autoimmune nature, triggered by various environmental factors, including vaccination. Our aim here was to search for and analyze reported cases of transverse myelitis following vaccination. A systematic review of PubMed, EMBASE and DynaMed for all English-language journals published between 1970 and 2009 was preformed, utilizing the key words transverse myelitis, myelitis, vaccines, post-vaccination, vaccination and autoimmunity. We have disclosed 37 reported cases of transverse myelitis associated with different vaccines including those against hepatitis B virus, measles-mumps-rubella, diphtheria-tetanus-pertussis and others, given to infants, children and adults. In most of these reported cases the temporal association was between several days and 3 months, although a longer time frame of up to several years was also suggested. Although vaccines harbor a major contribution to public health in the modern era, in rare cases they may be associated with autoimmune phenomena such as transverse myelitis. The associations of different vaccines with a single autoimmune phenomenon allude to the idea that a common denominator of these vaccines, such as an adjuvant, might trigger this syndrome.
HAS TRANSVERSE MYELITIS BEEN RECOGNIZED BY THE VACCINE COURT AS VACCINE-INJURY?
WHAT VACCINES ARE KNOWN TO BE ASSOCIATED WITH TRANSVERSE MYELITIS?
- DTaP (Diphtheria, Tetanus, acellular Pertussis) vaccine
- Hepatitis B vaccine
- HPV vaccine (Gardasil, Cervaris)
- Influenza (Flu) vaccine
- MMR (Measles, Mumps, Rubella) vaccine
- Meningococcal vaccine
- TDap (Tetanus, Diphtheria, acellular Pertussis) vaccine
IS THERE EFFECTIVE TREATMENT FOR VACCINE-INDUCED TRANSVERSE MYELITIS?
Yes. If it is recognized as a vaccine-injury, and treated accordingly.
Four days following novel influenza A(H1N1) vaccination, the patient developed longitudinally extensive transverse myelitis. Extensive diagnostic evaluation effectively ruled out causes other than vaccination-associated transverse myelitis. Following treatment with corticosteroids and plasmapheresis, the patient made a significant recovery.
Source: JAMA Network – JAMA Neurology (JAMA = Journal of the American Medical Association)
*NOTE: This is not an endorsement of any particular attorney or attorneys. It was just the first one I happened to find in my search. There are others and there are more cases which have been won by other attorneys.
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