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Transverse myelitis following mumps in an adult ‐ a case report with MRI correlation
Author(s) -
Venketasubramanian N.
Publication year - 1997
Publication title -
acta neurologica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.967
H-Index - 95
eISSN - 1600-0404
pISSN - 0001-6314
DOI - 10.1111/j.1600-0404.1997.tb00292.x
Subject(s) - medicine , transverse myelitis , acute transverse myelitis , magnetic resonance imaging , weakness , myelitis , spinal cord , cerebrospinal fluid , methylprednisolone , paresis , urinary retention , surgery , cord , dyssynergia , anesthesia , radiology , pathology , sphincter , psychiatry
This is a case report of the 2nd oldest patient reported in the literature with transverse myelitis after mumps, and the 1st with magnetic resonance imaging (MRI) correlation. He is a 38‐year‐old Chinese man presenting with bilateral lower limb weakness and numbness, and urinary retention starting 3 weeks after an attack of mumps parotitis. Clinically, there was mild lower limb paresis, absent plantar responses and reduced pain sensation below the umbilicus. MRI revealed cord swelling and increased T 2 signal from T7 to Til. Cerebrospinal fluid showed 23 cells/mm 3 and 55 mg protein/dl. He received a 5‐day course of intravenous methylprednisolone 0.5 g/d. The sensory and motor deficits improved over 2 weeks; urinary symptoms improved over the next year. Transverse myelitis following mumps is recognizable clinically and radiologically, and potentially responsive to methylprednisolone.