Myelitis: a rare presentation of mumps.
We report a rare case of mumps myelitis in which parotid swelling appeared 3 days after the symptoms of myelitis. A 10-year-old boy presented with acute paraplegia of grade I-II on MRC (Medical Research Council) scale and retention of urine with normal sensations. Central motor conduction to tibialis anterior (CMCT-TA) on the right side was 32 ms and 24 ms on the left side. Spinal MRI revealed hyperintense signal changes extending from C3 to T12. After 5 days of methylprednisolone therapy, there was marked improvement in weakness, micturition normalized and CMCT-TA also returned to normal. MRI repeated after 1 month was also normal. This response seems to be due to antiedema and to the antiinflammatory effect of methylprednisolone, because of a temporal relationship between MPS and clinical improvement. However, the possibility of natural recovery cannot be ruled out.
Bansal
R
R
Department of Neurology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India.
Kalita
J
J
Misra
U K
UK
Kishore
J
J
D002648:Child; D004797:Enzyme-Linked Immunosorbent Assay; D006801:Humans; D007074:Immunoglobulin G / Q000097:blood; D007075:Immunoglobulin M / Q000097:blood; D008279:Magnetic Resonance Imaging; D008297:Male; D008475:Median Nerve / Q000502:physiology; D009107:Mumps / Q000150:complications* / Q000175:diagnosis; D009187:Myelitis / Q000097:blood / Q000209:etiology* / Q000473:pathology*; D009431:Neural Conduction / Q000502:physiology; D013116:Spinal Cord / Q000473:pathology*; D013979:Tibial Nerve / Q000502:physiology
D007074:Immunoglobulin G; D007075:Immunoglobulin M