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Myelin Oligodendrocyte Glycoprotein MOG35-55 Induced Experimental Autoimmune Encephalomyelitis EAE in C57BL/6 Mice
Published on: April 15, 2014
Mumps Myelitis-A Rare Cause of Myelitis
Kshitij Bansal1, Tanushree Chawla1, Chanchal Goyal2
1Medanta, The Medicity, Gurugram, India.
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.
Insights
This case report details a rare instance of acute transverse myelitis (ATM) following mumps infection in an adult male. Prompt steroid treatment led to significant recovery, highlighting the effectiveness of this therapy for mumps-induced neurological complications.
Area of Science:
- Neurology
- Infectious Diseases
- Immunology
Background:
- Mumps infection can rarely lead to serious neurological complications.
- Acute transverse myelitis (ATM) is an inflammatory condition affecting the spinal cord.
Observation:
- A 33-year-old male presented with fever, parotid and scrotal swelling, and paraparesis post-mumps infection.
- MRI revealed spinal cord lesions, and CSF analysis indicated pleocytosis and elevated protein with mumps antibodies.
- The patient experienced significant motor and sensory improvement after high-dose pulse steroid treatment.
Findings:
- Confirmed association between mumps virus infection and acute transverse myelitis in an adult.
- Evidence suggests an autoimmune-inflammatory mechanism triggered by the mumps infection.
- High-dose pulse steroid therapy demonstrated efficacy in treating mumps-associated ATM.
Implications:
- Highlights the importance of considering mumps as a potential cause of ATM in adults.
- Emphasizes the effectiveness of prompt steroid intervention for favorable neurological outcomes.
- Underscores the need for increased awareness of neurological sequelae of mumps infection.
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