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KMID : 1034720180100010037
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Journal of Neurosonology and Neuroimaging
2018 Volume.10 No. 1 p.37 ~ p.40
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Multifocal Longitudinally Extensive Transverse Myelitis as a Rare Complication of Mumps Infection
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Ahn So-Hyun
Kim Jae-Seok
Bae Jong-Seok
Kim Ye-Rim
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Abstract
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Myelitis is one of the rare neurological complications of mumps infection. However, there have been few reports of multifocal longitudinally extensive transverse myelitis (LETM) as a complication during the convalescent stage after acute mumps infections. A 14-year-old boy abruptly developed paraplegia, paresthesia of both legs, and urinary retention 4 weeks after acute mumps infection, from which he had recovered with supportive treatment. Spinal magnetic resonance imaging revealed two separate LETMs lesions over the thoracic spinal cord. Other radiological and electrophysiological studies revealed no evidence of demyelinating disorders. The results of laboratory studies were all negative except for evidence of recent mumps infection. He was treated with a high-dose intravenous steroid, and recovered from his neurological symptoms about 1 month later. This is the first report of multifocal LETM after acute mumps infection. LETM is thus not only associated with neuroimmunological syndromes, such as neuromyelitis optica, but it can also develop after acute viral infection.
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KEYWORD
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Mumps, Myelitis, Transverse, Complications, Paraplegia
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