Tan K K, Manickam W D, Cardosa M J
Paediatric Unit, General Hospital, Penang, Malaysia.
Singapore Med J. 1992 Oct;33(5):525-6.
A 7-year-old Indian girl developed complete paralysis of her lower limbs and acute urinary retention 10 days after suffering from mumps. Encephalomyelitis due to mumps was not suspected initially since it is a rare complication of mumps, although relatively well-documented. However, the preceding history of parotitis and the presence of mumps-specific IgM in both blood and cerebrospinal fluid led to the diagnosis. The initially severe acute neurological deficits resolved completely three months after onset of her illness. Serological investigations were helpful in diagnosing neurological complications of mumps in this case, and especially where there is no preceding parotitis.
一名7岁印度女孩在患腮腺炎10天后出现双下肢完全瘫痪和急性尿潴留。起初并未怀疑是腮腺炎所致的脑脊髓炎，因为这是腮腺炎的一种罕见并发症，尽管有相对充分的文献记载。然而，先前的腮腺炎病史以及血液和脑脊液中均存在腮腺炎特异性IgM导致了该诊断。她发病3个月后，最初严重的急性神经功能缺损完全消失。血清学检查有助于诊断该病例中腮腺炎的神经并发症，特别是在没有先前腮腺炎病史的情况下。
