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Durand-Dubief F, Marignier R, Berthezene Y, Cottin J, Nighoghossian N, Vukusic S. Spontaneous multiple cervical artery dissections after alemtuzumab. Mult Scler 2019; 26:381-383. [PMID: 31070502 DOI: 10.1177/1352458519828663] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
We report a case of multiple cervical artery dissections that occurred 4 days after a first course of alemtuzumab in a woman with relapsing-remitting multiple sclerosis and discuss its potential relationship and mechanisms of action. In particular, an arterial inflammatory process, secondary to cytokine release, could potentially lead to intimal thickening, luminal irregularities, stenosis, and ultimately occlusion. Occurrence of an unexpected serious adverse event, in our case, multiple cervical artery dissections, especially in a close time window after drug administration, questions a potential causal relationship with the drug or a simple coincidence.
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Affiliation(s)
- Françoise Durand-Dubief
- Service de neurologie, sclérose en plaques, pathologies de la myéline et neuro-inflammation-Hôpital Neurologique Pierre Wertheimer, Hospices Civils de Lyon, Lyon, France/ CREATIS, UMR5520 & U1044 INSERM, Université Claude Bernard Lyon 1, Villeurbanne, France
| | - Romain Marignier
- Service de neurologie, sclérose en plaques, pathologies de la myéline et neuro-inflammation-Hôpital Neurologique Pierre Wertheimer, Hospices Civils de Lyon, Lyon, France/Lyon Neuroscience Research Center, U1028 INSERM, UMR5292 CNRS, Lyon, France/Université Claude Bernard Lyon 1, Villeurbanne, France
| | - Yves Berthezene
- CREATIS, UMR5520 & U1044 INSERM, Université Claude Bernard Lyon 1, Villeurbanne, France/Université Claude Bernard Lyon 1, Villeurbanne, France/Service de Neuroradiologie diagnostique, Hôpital Neurologique Pierre Wertheimer, Hospices Civils de Lyon, Lyon, France
| | - Judith Cottin
- Department of Pharmacotoxicology, Lyon University Hospital, Hospices Civils de Lyon, Lyon, France
| | - Norbert Nighoghossian
- CREATIS, UMR5520 & U1044 INSERM, Université Claude Bernard Lyon 1, Villeurbanne, France/Université Claude Bernard Lyon 1, Villeurbanne, France/Service de Neurologie Vasculaire, Hôpital Neurologique Pierre Wertheimer, Hospices Civils de Lyon, Lyon, France
| | - Sandra Vukusic
- Service de neurologie, sclérose en plaques, pathologies de la myéline et neuro-inflammation-Hôpital Neurologique Pierre Wertheimer, Hospices Civils de Lyon, Lyon, France/Université Claude Bernard Lyon 1, Villeurbanne, France/Lyon Neuroscience Research Center, Observatoire Français de la Sclérose en Plaques, INSERM 1028 and CNRS UMR 5292, Lyon, France
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