Leonberg S C
Neurol Neurocir Psiquiatr. 1977;18(2-3 Suppl):485-93.
Hippocrates probably first described mumps parotitis, but not until 1758 was affection of the central nervous system reported in this disease. Mumps meningitis, encephalitis, myelitis, polyradiculitis and cranial neuritis are now well known, and may occur without clinical parotitis. Meningitis occurs most commonly, encephalitis, cranial neuritis and polyradiculitis less often, and myelitis rarely. They may present individually or in combination. A patient is described who first developed acute mumps meningoencephalitis, without clinical parotitis. Transverse myelitis occurred two weeks later, and finally optic neuritis ten days following the myelitis. Slow but complete recovery followed. Attention is directed to the various ways mumps can affect the nervous system. This virus should always be considered among possible etiologic agents causing such neurologic syndromes.
希波克拉底可能最早描述了流行性腮腺炎，但其中枢神经系统受累直至1758年才被报道。现在，腮腺炎脑膜炎、脑炎、脊髓炎、多发性神经根炎和颅神经炎已为人熟知，且可在无临床腮腺炎表现时发生。脑膜炎最为常见，脑炎、颅神经炎和多发性神经根炎较少见，脊髓炎则罕见。它们可单独出现或合并出现。本文描述了一名患者，最初发生急性腮腺炎脑膜脑炎，无临床腮腺炎表现。两周后出现横贯性脊髓炎，脊髓炎后十天最终出现视神经炎。随后缓慢但完全康复。文中着重指出了腮腺炎影响神经系统的各种方式。在可能导致此类神经综合征的病因中，始终应考虑这种病毒。
