» Articles » PMID: 16998759

Adverse Effects of Treatment with Intravenous Immunoglobulins for Neurological Diseases

Overview
Journal J Neurol
Specialty Neurology
Date 2006 Sep 26
PMID 16998759
Citations 6
Authors
Affiliations
Soon will be listed here.
Abstract

Therapy with intravenous immunoglobulins (IVIg) is considered to be a safe treatment for a number of immune-mediated neurological diseases. Published data about prevalence of adverse effects range from 11 to 81%. The purpose of our study was to preserve a representative view on adverse effects by analysis of a large cohort of patients treated by IVIg. A recent prospective study reported 42.7% adverse events. The majority of patients presented with minor adverse effects, mostly asymptomatic laboratory changes. Rash or mild headache occurred especially when IVIg was administered with an infusion flow higher than 10 g/h. Severe complications like deep vein thrombosis or others are rare. In addition to its efficacy, IVIg therapy appears to be a safe therapy in immune-mediated neurological diseases. Most patients show no or minor adverse effects. Patients with pre-existent disorders like heart or renal insufficiency or immobilized patients, however, may be at higher risk for complications.

Citing Articles

Multiple cerebral infarctions after intravenous immunoglobulin for Guillain-Barré syndrome: two case reports and review of the literature.

Wang W, Feng C, Liu Y, Tao Y, Bi X, Hou X Front Immunol. 2024; 15:1433240.

PMID: 39108266 PMC: 11300209. DOI: 10.3389/fimmu.2024.1433240.


Consider Alternative Causes of Death to SARS-CoV-2 Vaccination-Related Guillain-Barre Syndrome without Dysautonomia.

Finsterer J Ann Indian Acad Neurol. 2023; 25(6):1223.

PMID: 36911433 PMC: 9996477. DOI: 10.4103/aian.aian_585_22.


Cost-minimisation analysis of plasma exchange versus IVIg in the treatment of autoimmune neurological conditions.

Klemencic Kozul T, Yudina A, Donovan C, Pinto A, Osman C BMC Health Serv Res. 2022; 22(1):904.

PMID: 35831856 PMC: 9277970. DOI: 10.1186/s12913-022-08210-z.


Protective effects of cultured and fermented ginseng extracts against scopolamine-induced memory loss in a mouse model.

Han S, Kim S, Yun Y, Nam S, Lee H, Lee B Lab Anim Res. 2018; 34(1):37-43.

PMID: 29628975 PMC: 5876162. DOI: 10.5625/lar.2018.34.1.37.


Clinical and economic outcomes of a "high-touch" clinical management program for intravenous immunoglobulin therapy.

Zhu J, Kirkham H, Ayer G, Chen C, Wade R, Karkare S Clinicoecon Outcomes Res. 2018; 10:1-12.

PMID: 29296090 PMC: 5741071. DOI: 10.2147/CEOR.S142239.


References
1.
Dalakas M . Intravenous immunoglobulin in the treatment of autoimmune neuromuscular diseases: present status and practical therapeutic guidelines. Muscle Nerve. 1999; 22(11):1479-97. DOI: 10.1002/(sici)1097-4598(199911)22:11<1479::aid-mus3>3.0.co;2-b. View

2.
Wittstock M, Benecke R, Zettl U . Therapy with intravenous immunoglobulins: complications and side-effects. Eur Neurol. 2003; 50(3):172-5. DOI: 10.1159/000073059. View

3.
Hahn A . Intravenous immunoglobulin treatment in peripheral nerve disorders--indications, mechanisms of action and side-effects. Curr Opin Neurol. 2000; 13(5):575-82. DOI: 10.1097/00019052-200010000-00012. View

4.
Frank M, Basta M, Fries L . The effects of intravenous immune globulin on complement-dependent immune damage of cells and tissues. Clin Immunol Immunopathol. 1992; 62(1 Pt 2):S82-6. DOI: 10.1016/0090-1229(92)90045-p. View

5.
Dalakas M . High-dose intravenous immunoglobulin and serum viscosity: risk of precipitating thromboembolic events. Neurology. 1994; 44(2):223-6. DOI: 10.1212/wnl.44.2.223. View