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CNS demyelination and quadrivalent HPV vaccinationDepartment of Neurology, St Vincents Hospital, Darlinghurst, New South Wales, Australia; The Brain and Mind Research Institute, The University of Sydney, New South Wales, Australia
St George Hospital, Kogarah, New South Wales, Australia
Department of Neurology, St Vincents Hospital, Darlinghurst, New South Wales, Australia
Westmead Hospital, Westmead, New South Wales, Australia
The Brain and Mind Research Institute, The University of Sydney, New South Wales, Australia; St George Hospital, Kogarah, New South Wales, Australia mbarnett{at}mail.usyd.edu.au Vaccination is generally considered safe in patients with multiple sclerosis (MS). We report five patients who presented with multifocal or atypical demyelinating syndromes within 21 days of immunization with the quadrivalent human papilloma virus (HPV) vaccine, Gardasil®. Although the target population for vaccination, young females, has an inherently high risk for MS, the temporal association with demyelinating events in these cases may be explained by the potent immuno-stimulatory properties of HPV virus-like particles which comprise the vaccine. A prospective case–control study of patients with MS or clinically isolated demyelinating syndromes receiving the Gardasil® vaccine may provide relevant safety data in this population.
Key Words: demyelination multiple sclerosis human papillomavirus vaccination
This version was published on January
1, 2009 Multiple Sclerosis, Vol. 15, No. 1,
116-119 (2009) This article has been cited by other articles:
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