Mumps Myelitis—A Rare Cause of Myelitis

Kshitij Bansal Medanta, The Medicity, Gurugram, India;

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Tanushree Chawla Medanta, The Medicity, Gurugram, India;

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Chanchal Goyal ICMR, New Delhi, India

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Vinay Goyal Medanta, The Medicity, Gurugram, India;

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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.

Author Notes

Current contact information: Kshitij Bansal, Tanushree Chawla, and Vinay Goyal, Medanta, The Medicity, Gurugram, India, E-mails: drkshitijbansal@gmail.com, drtnshr.chaw@gmail.com, and drvinaygoyal@gmail.com. Chanchal Goyal, ICMR, New Delhi, India, E-mail: Goyalc.hq@icmr.gov.in.

Address correspondence to Vinay Goyal, Institute of Neuroscience, Room No. 11, 6th Floor, Medanta The Medicity, Gurugram, Haryana 122001, India. E-mail: drvinaygoyal@gmail.com
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