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. 2016 Nov 1;55(21):3181–3184. doi: 10.2169/internalmedicine.55.5472

Table.

Previously Reported Cases of ADEM Occurring after HPV Vaccination.

Reference No. Number
of cases
Vaccine Intervals after
last injection
Progress to
multiple
sclerosis
Treatment Prognosis
6 4 Gardasil 3-6 months NMOSD IVMP, Rituximab Good
16 1 Gardasil 4 weeks None IVMP, IVCY Good
17 5 Gardasil ~3 weeks 3 IVMP Good
18 1 Gardasil 10 days None IVMP Good
19 2 Gardasil 4 weeks 2 IVMP Good
Current cases 2 Gardasil/
Cervarix
~2 weeks None IVMP/no treatment Good

NMOSD: neuromyelitis optica spectrum disorder, IVMP: intravenous methyl prednisolone, IVCY: intravenous cyclophosphamide