Abstract
A 5-year-old male patient with asymptomatic optic neuritis and mumps postinfectious encephalitis or acute disseminated encephalomyelitis is reported. Magnetic resonance imaging (MRI) with a short inversion time inversion recovery sequence was valuable in detecting clinically silent lesions of the unilateral right optic nerve in addition to visual evoked potentials. Evidence of concurrent optic neuritis was useful for detecting more extensive neurological involvement, leading to the diagnosis of mumps postinfectious encephalitis. A systmatic MRI study should be performed in children with mumps encephalitis, regardless of appreciable clinical deficits.
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Abbreviations
- ADEM:
-
acute disseminated encephalomyelitis
- CNS:
-
central nervous system
- CSF:
-
cerebrospinal fluid
- MRI:
-
magnetic resonance imaging
- STIR:
-
short inversion time inversion recovery
References
Bistrian B, Phillips CA, Kaye IS (1972) Fatal mumps meningoencephalitis. JAMA 222: 478–479
Booss J, Esili MM (1986) Viral encephalitis, Blackwell Scientific, Oxford
Epperson LW, Whitaker JN, Kapila A (1988) Cranial MRI in acute disseminated encephalomyelitis. Neurology 38: 332–333
Hadley DM, Teasdale GM (1988) Magnetic resonance imaging of the brain and spine. J Neurol 235: 193–206
Kesselring J, Miller DH, Robb SA, Kendall BE, Moseley IF, Kingsley D, Du Boulay GH, McDonald WI (1990) Acute disseminated encephalomyelitis, MRI findings and the distinction from multiple sclerosis. Brain 113: 291–302
Miller DH, Newton MR, Poel JC van der, Boulay GH du, Halliday AM, Kendall BE, Johnson G, MacManus DG, Moseley IF, McDonald WI (1988) Magnetic resonance imaging of the optic nerve in optic neuritis. Neurology 38: 175–179
Miller DH, Robb SA, Ormerod IEC, Pohl KRE, MacManus DG, Kendall BE, Moseley IF, McDonald WI (1990) Magnetic resonance imaging of inflammatory and demyelinating whitematter diseases of childhood. Dev Med Child Neurol 32: 97–107
Poser CM (1969) Disseminated vasculomyelinopathy. Acta Neurol Scand 45 [Suppl 37]: 1–44
Sugita K, Takeuchi A, Iai M, Tanabe Y (1989) Neurologic sequelae and MRI in low-birth weight patients. Pediatr Neurol 5: 365–369
Vaheri A, Julkunen I, Koskiniemi M-L (1982) Chronic encephalomyelitis with specific increase in intrathecal mumps antibodies. Lancet II: 685–688
Vandvik B, Norrby E, Steen-Johnsen J, Stensvold K (1978) Mumps meningitis: prolonged pleocytosis and occurrence of mumps virus-specific oligoclonal IgG in the cerebrospinal fluid. Eur Neurol 17: 13–22
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Sugita, K., Ando, M., Minamitani, K. et al. Magnetic resonance imaging in a case of mumps postinfectious encephalitis with asymptomatic optic neuritis. Eur J Pediatr 150, 773–775 (1991). https://doi.org/10.1007/BF02026708
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DOI: https://doi.org/10.1007/BF02026708