Mumps Myelitis—A Rare Cause of Myelitis

Kshitij Bansal Medanta, The Medicity, Gurugram, India;

Search for other papers by Kshitij Bansal in
Current site
Google Scholar
PubMed
Close
,
Tanushree Chawla Medanta, The Medicity, Gurugram, India;

Search for other papers by Tanushree Chawla in
Current site
Google Scholar
PubMed
Close
,
Chanchal Goyal ICMR, New Delhi, India

Search for other papers by Chanchal Goyal in
Current site
Google Scholar
PubMed
Close
, and
Vinay Goyal Medanta, The Medicity, Gurugram, India;

Search for other papers by Vinay Goyal in
Current site
Google Scholar
PubMed
Close
Restricted access

ABSTRACT.

This report presents a rare case of acute transverse myelitis (ATM) after mumps infection in a 33-year-old male. Symptoms included fever, parotid and scrotal swelling, and subsequent sensory-motor paraparesis. Magnetic resonance imaging revealed long-segment spinal cord hyperintensity, and cerebrospinal fluid analysis showed pleocytosis and elevated protein, with positive mumps virus antibodies. Treatment with high-dose pulse steroids resulted in significant improvement. This underscores the association between mumps and ATM in adults, suggesting an autoimmune-inflammatory mechanism. The favorable response to steroid therapy emphasizes its efficacy in managing mumps-associated ATM. Recognizing such neurological complications is crucial for prompt diagnosis and appropriate intervention.

Author Notes

Current contact information: Kshitij Bansal, Tanushree Chawla, and Vinay Goyal, Medanta, The Medicity, Gurugram, India, E-mails: drkshitijbansal@gmail.com, drtnshr.chaw@gmail.com, and drvinaygoyal@gmail.com. Chanchal Goyal, ICMR, New Delhi, India, E-mail: Goyalc.hq@icmr.gov.in.

Address correspondence to Vinay Goyal, Institute of Neuroscience, Room No. 11, 6th Floor, Medanta The Medicity, Gurugram, Haryana 122001, India. E-mail: drvinaygoyal@gmail.com
  • 1.

    Baums G; LITMANN, 1995. Mumps virus.Mandell GL, Bennet JE, Dolin R. Principles and Practice of Infectious Diseases. Edinburgh, United Kingdom: Churchill Livingstone, 302–305.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 2.

    Unal A, Emre U, Atasoy HT, Sumer MM, Mahmutyazicioglu K, 2005. Encephalomyelitis following mumps. Spinal Cord 43: 441444.

  • 3.

    Galanakis E, Bikouvarakis S, Mamoulakis D, Karampekios S, Sbyrakis S, 2001. Transverse myelitis associated with herpes simplex virus infection. J Child Neurol 16: 866867.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 4.

    Bajaj NP, Rose P, Clifford‐Jones R, Hughes PJ, 2001. Acute transverse myelitis and Guillain–Barré overlap syndrome with serological evidence for mumps viraemia. Acta Neurol Scand 104: 239242.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 5.

    Scheid W, 1961. Mumps virus and the central nervous system. World Neurol 2: 117133.

  • 6.

    Venketasubramanian N, 1997. Transverse myelitis following mumps in an adult – A case report with MRI correlation. Acta Neurol Scand 96: 328331.

  • 7.

    Mirbagheri S, Sorte DE, Zamora CA, Mossa-Basha M, Newsome SD, Izbudak I, 2016. Evaluation and management of longitudinally extensive transverse myelitis: A guide for radiologists.Clin Radiol 71: 960971.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 8.

    Heerlein K, Jarius S, Jacobi C, Rohde S, Storch-Hagenlocher B, Wildemann B, 2009. Aquaporin-4 antibody positive longitudinally extensive transverse myelitis following varicella zoster infection.J Neurol Sci 276: 184186.

    • PubMed
    • Search Google Scholar
    • Export Citation
Past two years Past Year Past 30 Days
Abstract Views 809 809 73
Full Text Views 15 15 8
PDF Downloads 13 13 8
 

 

 

 
 
Affiliate Membership Banner
 
 
Research for Health Information Banner
 
 
CLOCKSS
 
 
 
Society Publishers Coalition Banner
Save