Prolonged migraine aura resembling ischemic stroke following CoronaVac vaccination: an extended case series

BackgroundAfter the initiation of the COVID-19 vaccination program in Thailand, thousands of patients have experienced unusual focal neurological symptoms. We report 8 patients with focal neurological symptoms after receiving inactivated virus vaccine, CoronaVac.Case seriesPatients were aged 24–48 years and 75% were female. Acute onset of focal neurological symptoms occurred within the first 24 h after vaccination in 75% and between 1-7d in 25%. All presented with lateralized sensory deficits, motor deficits, or both, of 2–14 day duration. Migraine headache occurred in half of the patients. Magnetic resonance imaging of the brain during and after the attacks did not demonstrate any abnormalities suggesting ischemic stroke. All patients showed moderately large regions of hypoperfusion and concurrent smaller regions of hyperperfusion on SPECT imaging while symptomatic. None developed permanent deficits or structural brain injury.DiscussionsHere, we present a case series of transient focal neurological syndrome following Coronavac vaccination. The characteristic sensory symptoms, history of migraine, female predominant, and abnormal functional brain imaging without structural changes suggest migraine aura as pathophysiology. We propose that pain related to vaccine injection, component of vaccine, such as aluminum, or inflammation related to vaccination might trigger migraine aura in susceptible patients.Supplementary InformationThe online version contains supplementary material available at 10.1186/s10194-022-01385-0.     

Efficient reactive blue 19 decolorization by the comparison of ozonation membrane contacting process and Fenton oxidation

The decolorization of Reactive Blue 19 (RB 19) wastewater by an ozonation membrane contactor and Fenton oxidation was studied. The aims of the study were to investigate the affecting parameters and to compare the performance of RB 19 decolorization by two different processes. The results showed that Fe²⁺ and H₂O₂ concentrations for Fenton oxidation and ozone concentration with different membranes for the membrane contacting process played the most important roles in RB 19 decolorization. The optimum conditions for RB 19 decolorization by Fenton oxidation were initial pH 3.0, 1.5 mM H₂O₂ and 0.25 mM Fe²⁺; in contrast, the optimum conditions for the membrane contactor were initial pH 11 and 40 mg L⁻¹ ozone concentration. Under these conditions, the decolorization of RB 19 by the membrane contactor was almost completed and was higher than by Fenton and photo-Fenton oxidations for 90 min. The decolorizations of RB 19 by Fenton and photo-Fenton oxidations were constant after 30 min, but the decolorization of RB 19 by ozonation with a membrane contactor gradually increased via ozone consumption until 90 min operation, which was higher than that of Fenton oxidations. The use of a PVDF-PAM membrane in the membrane contactor resulted in higher decolorization efficiency than a PVDF membrane. The results demonstrated a COD removal efficiency of 63% by an ozonation membrane contacting process using PVDF-PAM, which was lower than that of Fenton oxidation (73%), but resulted in higher BOD₅/COD and NO₃⁻ and SO₄²⁻ releases. Under these conditions, the ozonation membrane contacting process showed the lowest electric energy consumption.

The decolorization of Reactive Blue 19 (RB 19) wastewater by an ozonation membrane contactor and Fenton oxidation was studied.