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[Vestibular dysfunction and deafness complicating mumps parotitis].

S Izraeli, A Rachmel, M Nitzan

    Harefuah
    |November 1, 1989
    PubMed
    Summary
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    Mumps infection can cause acute vestibulitis, leading to severe vertigo and permanent unilateral hearing loss in children. This rare complication highlights the need for mumps vaccination inclusion in national policies.

    Area of Science:

    • Pediatrics
    • Neurology
    • Otolaryngology

    Background:

    • Mumps is a viral illness typically causing parotitis, but can have neurological complications.
    • Vestibular and auditory system involvement during mumps infection is uncommon.

    Observation:

    • A 9-year-old boy presented with acute mumps parotitis, experiencing severe positional vertigo, unsteadiness, vomiting, and nystagmus.
    • Audiometric testing revealed complete right-sided sensorineural hearing loss.
    • Brainstem auditory evoked response (BAER) was normal for the left ear but absent for the right ear.

    Findings:

    • Vestibular symptoms resolved within a week.
    • The patient suffered permanent complete sensorineural hearing loss in the right ear.
    • Cranial CT scan showed no abnormalities.

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    Implications:

    • Acute vestibulitis is a rare but serious complication of mumps.
    • Permanent unilateral deafness may be an underrecognized consequence of mumps.
    • This case underscores the importance of including mumps vaccination in public health policies, particularly in Israel.