No vaccine-no protection: mumps meningoencephalitis and hydroceph.pdf (206.62 kB)

No vaccine-no protection: mumps meningoencephalitis and hydrocephalus in an unvaccinated adult.

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posted on 22.11.2019, 15:23 by Karen Burns, Mark Doherty, John Hanson, Taufiq Sattar, Hilary Humphreys

Mumps virus is a rare cause of hydrocephalus. A non-immunised, healthy 23 year-old male presented to the Emergency Department, 12 days after diagnosis of mumps parotitis. He reported a gradual improvement until the onset of headache and vomiting 48 hours earlier. He had never been immunised, having been born prior to implementation of the Irish measles, mumps and rubella (MMR) vaccination programme in 1986. He was afebrile, normotensive, bradycardic, disoriented in time and examination, including fundoscopy was normal. Computerised tomography (CT) scan of the head revealed marked dilatation of the lateral and third ventricles, with early sub-ependymal oedema adjacent to the temporal and frontal horns of the lateral ventricles. The basal cisterns remained patent. The fourth ventricle was normal in size, suggesting that ventricular enlargement was due to aqueductal stenosis.

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The original article is available at www.imj.ie

Published Citation

Burns K, Doherty M, Hanson J, Sattar MT, Humphreys H. No vaccine-no protection: mumps meningoencephalitis and hydrocephalus in an unvaccinated adult. Irish Medical Journal. 2013;106(2):61.

Publication Date

01/02/2013

Publisher

Irish Medical Organisation

PubMed ID

23472394

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