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March 2023; 10 (2) Research ArticleOpen Access

Effects of the COVID-19 Pandemic on Patients With NMO Spectrum Disorders and MOG-Antibody–Associated Diseases

COPANMO(G)-Study

Martin W. Hümmert, Franziska Bütow, Daria Tkachenko, Ilya Ayzenberg, Thivya Pakeerathan, Kerstin Hellwig, Luisa Klotz, Vivien Häußler, Jan-Patrick Stellmann, Clemens Warnke, Yasemin Goereci, Thorleif Etgen, Felix Luessi, Paul Bronzlik, Stefan Gingele, Ann-Sophie Lauenstein, Ingo Kleiter, Paulus S. Rommer, Friedemann Paul, Judith Bellmann-Strobl, Ankelien Duchow, Florian Then Bergh, Refik Pul, Annette Walter, Hannah Pellkofer, Tania Kümpfel, Mosche Pompsch, Markus Kraemer, Philipp Albrecht, Orhan Aktas, Marius Ringelstein, Makbule Senel, Katrin Giglhuber, Achim Berthele, Sven Jarius, Brigitte Wildemann, Corinna Trebst; on behalf of Neuromyelitis Optica Study Group (NEMOS)
First published January 24, 2023, DOI: https://doi.org/10.1212/NXI.0000000000200082
Martin W. Hümmert
From the Department of Neurology (M.W.H., F.B., D.T., S.G., C.T.), Hannover Medical School, Germany; Department of Neurology (I.A., T.P., K.H., I.K.), St. Josef Hospital, Ruhr University Bochum, Germany; Department of Neurology (L.K.), University of Münster, Germany; Department of Neurology and Institute of Neuroimmunology and MS (INIMS) (V.H., J.-P.S.), University Medical Center Hamburg-Eppendorf, Germany; Aix-Marseille Univ (J.-P.S.), CNRS, CRMBM, UMR 7339, Marseille Cedex, France; APHM (J.-P.S.), Hopital de La Timone, CEMEREM, Marseille, France; Department of Neurology (C.W., Y.G.), Faculty of Medicine and University Hospital Cologne, University of Cologne, Germany; Department of Neurology (T.E.), Kliniken Südostbayern-Klinikum Traunstein, Germany; Department of Neurology (F.L.), University Medical Center of the Johannes Gutenberg University Mainz, Germany; Hannover Medical School (P.B.), Department of Diagnostic and Interventional Neuroradiology, Germany; Department of Neurology (A.-S.L.), German Diagnostic Clinic, DKD Helios Clinic Wiesbaden, Germany; Marianne-Strauß-Klinik (I.K.), Behandlungszentrum Kempfenhausen für Multiple Sklerose Kranke, Berg, Germany; Department of Neurology (P.S.R.), Medical University of Vienna, Austria; Experimental and Clinical Research Center (F.P., J.B.-S., A.D.), a Cooperation Between the Max Delbrück Center for Molecular Medicine in the Helmholtz Association and Charité Universitätsmedizin Berlin, Germany; Department of Neurology (F.P., J.B.-S., A.D.), Charité–Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Experimental and Clinical Research Center, Germany; Max Delbrück Center for Molecular Medicine in the Helmholtz Association (MDC) (F.P., J.B.-S., A.D.), Berlin, Germany; Department of Neurology (F.T.B.), University of Leipzig, Germany; Department of Neurology (R.P.), University of Essen, Germany; Department of Neurology (A.W.), Herford Hospital, Germany; Institute of Clinical Neuroimmunology (H.P., T.K.), LMU Hospital, Ludwig-Maximilians Universität München, Germany; Department of Neurology (M.P., M.K.), Alfried-Krupp-Krankenhaus Essen, Germany; Department of Neurology (M.K., P.A., O.A., M.R.), Medical Faculty, Heinrich Heine University Düsseldorf, Germany; Department of Neurology (M.R.), Center for Neurology and Neuropsychiatry, LVR-Klinikum, Heinrich Heine University Düsseldorf, Germany; Department of Neurology (M.S.), University of Ulm, Germany; Department of Neurology (K.G., A.B.), School of Medicine, Technical University Munich, Klinikum Rechts der Isar, Germany; and Molecular Neuroimmunology Group (S.J., B.W.), Department of Neurology, University of Heidelberg, Germany.
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Franziska Bütow
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Daria Tkachenko
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Ilya Ayzenberg
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Thivya Pakeerathan
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Kerstin Hellwig
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Luisa Klotz
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Vivien Häußler
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Jan-Patrick Stellmann
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Clemens Warnke
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Yasemin Goereci
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Thorleif Etgen
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Felix Luessi
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Paul Bronzlik
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Stefan Gingele
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Ann-Sophie Lauenstein
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Ingo Kleiter
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Paulus S. Rommer
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Friedemann Paul
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Judith Bellmann-Strobl
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Ankelien Duchow
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Florian Then Bergh
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Refik Pul
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Annette Walter
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Hannah Pellkofer
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Tania Kümpfel
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Mosche Pompsch
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Markus Kraemer
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Philipp Albrecht
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Orhan Aktas
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Marius Ringelstein
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Makbule Senel
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Katrin Giglhuber
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Achim Berthele
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Sven Jarius
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Brigitte Wildemann
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Corinna Trebst
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Full PDF
Citation
Effects of the COVID-19 Pandemic on Patients With NMO Spectrum Disorders and MOG-Antibody–Associated Diseases
COPANMO(G)-Study
Martin W. Hümmert, Franziska Bütow, Daria Tkachenko, Ilya Ayzenberg, Thivya Pakeerathan, Kerstin Hellwig, Luisa Klotz, Vivien Häußler, Jan-Patrick Stellmann, Clemens Warnke, Yasemin Goereci, Thorleif Etgen, Felix Luessi, Paul Bronzlik, Stefan Gingele, Ann-Sophie Lauenstein, Ingo Kleiter, Paulus S. Rommer, Friedemann Paul, Judith Bellmann-Strobl, Ankelien Duchow, Florian Then Bergh, Refik Pul, Annette Walter, Hannah Pellkofer, Tania Kümpfel, Mosche Pompsch, Markus Kraemer, Philipp Albrecht, Orhan Aktas, Marius Ringelstein, Makbule Senel, Katrin Giglhuber, Achim Berthele, Sven Jarius, Brigitte Wildemann, Corinna Trebst
Neurol Neuroimmunol Neuroinflamm Mar 2023, 10 (2) e200082; DOI: 10.1212/NXI.0000000000200082

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    Figure 1 Pathologic MRI Findings in Temporal Association With Vaccination Against SARS-CoV-2 in 4 Different Patients (A–D)

    Further details in Table 3. (A) Sagittal T2-weighted spinal MRI disclosed a longitudinally extensive spinal cord lesion extending from T2-T8 (arrowheads indicate the start and end of the lesion) in a patient with new-onset MOG-IgG–positive myelitis. (B) Axial FLAIR imaging reveals a lesion in the right thalamus (arrow, B.a) and coronal T2-weighted imaging bilateral hyperintense lesions in the hippocampus (arrowheads, B.b) in another patient with new-onset MOGAD. (C) Longitudinal hyperintense signal of the optic nerve (axial FLAIR imaging, C.a) with gadolinium enhancement (coronal postgadolinium T1-weighted image, C.b) in a third patient with new-onset MOGAD. (D) Three different axial FLAIR layers show several new large lesions after vaccination (post) vs before vaccination (pre). The lines in the axial images indicate the localization of the respective coronal layer. FLAIR = fluid-attenuated inversion recovery; MOG-IgG = myelin oligodendrocyte glycoprotein immunoglobulin G; MOGAD = myelin oligodendrocyte glycoprotein antibody–associated diseases.

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    Figure 2 Level of Problems Experienced by Patients

    Patients were able to provide levels on a scale from 0 to 5 (0 = no problems, 5 = unable/extreme problems) for each of the 5 dimensions of the EuroQoL Group 5-Dimension 5-Level questionnaire.

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