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Acute Hydrocephalus in a Case of Mumps Meningoencephalitis: A Rare Occurrence
Anish Mehta1, Rohan Mahale1, Kiran Khanapure2
1Department of Neurology, M S Ramaiah Medical College and Hospital, Bengaluru, Karnataka, India.
Abstract:
Mumps is an acute viral illness, which presents with glandular and/or nervous system involvement. The most common central nervous system manifestations of mumps include aseptic meningitis and meningoencephalitis. Mumps meningoencephalitis, which is characterized by fever, vomiting, nuchal rigidity, and altered sensorium, usually develops at least 3-10 days after mumps parotitis. Acute hydrocephalus secondary to mumps meningoencephalitis is rare. Here we report a child who developed acute hydrocephalus following mumps meningoencephalitis and who was treated with external ventricular drainage following which he showed exceptional recovery.
Insights
Mumps meningoencephalitis can rarely cause acute hydrocephalus. External ventricular drainage led to exceptional recovery in a pediatric case, highlighting a crucial treatment option for this rare complication.
Area of Science:
- Neurology
- Infectious Diseases
- Pediatrics
Background:
- Mumps is a viral illness with potential glandular and nervous system effects.
- Aseptic meningitis and meningoencephalitis are common central nervous system complications of mumps.
- Mumps meningoencephalitis typically manifests 3-10 days post-parotitis with symptoms like fever and altered sensorium.
Observation:
- Acute hydrocephalus is an uncommon complication of mumps meningoencephalitis.
- This case report details a child who developed acute hydrocephalus after mumps meningoencephalitis.
- The child presented with symptoms indicative of mumps meningoencephalitis.
Findings:
- The patient developed acute hydrocephalus secondary to mumps meningoencephalitis.
- External ventricular drainage was implemented as a treatment for the hydrocephalus.
- The child demonstrated a remarkable recovery following the intervention.
Implications:
- This case underscores the rare but serious neurological sequelae of mumps.
- External ventricular drainage is a viable and effective treatment for acute hydrocephalus in mumps meningoencephalitis.
- Highlights the importance of recognizing and managing hydrocephalus in pediatric mumps cases.
