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Magnetic resonance imaging in a case of mumps postinfectious encephalitis with asymptomatic optic neuritis

European Journal of Pediatrics volume 150, pages 773–775 (1991)Cite this article

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

  1. Bistrian B, Phillips CA, Kaye IS (1972) Fatal mumps meningoencephalitis. JAMA 222: 478–479

    Article  PubMed  Google Scholar 

  2. Booss J, Esili MM (1986) Viral encephalitis, Blackwell Scientific, Oxford

    Google Scholar 

  3. Epperson LW, Whitaker JN, Kapila A (1988) Cranial MRI in acute disseminated encephalomyelitis. Neurology 38: 332–333

    PubMed  Google Scholar 

  4. Hadley DM, Teasdale GM (1988) Magnetic resonance imaging of the brain and spine. J Neurol 235: 193–206

    Article  PubMed  Google Scholar 

  5. 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

    PubMed  Google Scholar 

  6. 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

    PubMed  Google Scholar 

  7. 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

    PubMed  Google Scholar 

  8. Poser CM (1969) Disseminated vasculomyelinopathy. Acta Neurol Scand 45 [Suppl 37]: 1–44

    Google Scholar 

  9. Sugita K, Takeuchi A, Iai M, Tanabe Y (1989) Neurologic sequelae and MRI in low-birth weight patients. Pediatr Neurol 5: 365–369

    Article  PubMed  Google Scholar 

  10. Vaheri A, Julkunen I, Koskiniemi M-L (1982) Chronic encephalomyelitis with specific increase in intrathecal mumps antibodies. Lancet II: 685–688

    Article  Google Scholar 

  11. 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

    PubMed  Google Scholar 

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Affiliations

  1. Department of Paediatrics, Chiba University School of Medicine, Inohana 1-8-1, Chiba 280, Chiba, Japan

    K. Sugita, M. Ando, K. Minamitani & H. Niimi

  2. Department of Paediatrics, Chiba Rosai Hospital, Tatsumidai Higashi 2-16, Ichihara 290, Chiba, Japan

    H. Miyamoto

Authors
  1. K. Sugita
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  2. M. Ando
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  3. K. Minamitani
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  4. H. Miyamoto
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  5. H. Niimi
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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

Key words

  • Magnetic resonance imaging
  • Mumps
  • Acute disseminated encephalomyelitis