MMP, Mumps


Entities
Cranial nerves Optic neuritis Face Palsy (CN-5) Deafness (CN-8): Unilateral, transient high-frequency
Cerebellar ataxia:	Vertigo, Opsoclonus-Myoclonus Syndrome ^[1] Dysarthria
Brainstem encephalitis ^[2], ^[3], ^[4]
Meningitis; aseptic	Headache Pressing pain Neck Rigidity
Encephalitis:	Seizure Altered consciousness Aphasia Sleeplessness Extremities ballismus-like Involuntary movements ^[5]
Poliomyelitis-like syndrome,	Ext Paresis
Transverse myelitis	Ascending polyradiculitis
	TrismusDifficult mastication
Glositis	Difficult pronunciation Swelling of tongue
Parotitis	Unilateral Face Pain/ tenderness /Swelling Agg with citrus fruits Ear Pain
Sialadenitis	Edematous / Erythematous Orifice of Stensen's duct, Recurrent. Sialectasia
Thyroiditis
Pancreatitis
Juvenile Diabetes mellitus
Oophoritis	Premature menopause. Infertility
Epididymitis, Orchitis	Sterility. Atrophy of testis. Erythema / Warmth/ Pain / Tenderness / Swelling Testicular malignancy
Prostatitis
Mastitis	Presternal pitting edema
Lymphadenopathy: /	Sublingual, Submandibular, Neck
Thrombocytopenia
	Eye Inflammation, Dim Vision Lachrymation
Hepatitis:	Upper abdominal discomfort. Pain; lower abdominal, epigastrial Epigastrial tenderness
Myocarditis	Endocardial fibroelastosis
Arthritis	Monoarticular Migratory polyarthritis
Nephritis

CSF; Pleocytosis, Hypoglycorrhachia (An abnormally low glucose concentration within CSF)

Remedies


Banerji protocols
First line	Merc-v C200 + Bell C30 one dose every 3 hours Puls C30 BD in testicular pain. In this situation Merc-v C200 + Bell C30 should be continues every 3 hours
Second line	Hep C6 + Bell C30 one dose every 2 hours alternately
Third line	Thuj C30 + Bell C30 one dose every 3 hours alternately.

KM: The main remedy

NM: Mumps with severe sialorrhea

FP: Mumps with high fever

↑ J Clin Neurol 2014;10(3):272-275 Opsoclonus-Myoclonus Syndrome Associated with Mumps Virus Infection Bong-Hui Kang,a Jae-Il Kima,b
↑ Chee YC, Ong BH. Mumps encephalitis with bilateral hippocampal lesions preceding parotitis. Neurol Clin Pract. 2019 Dec;9(6):475-477. doi: 10.1212/CPJ.0000000000000665. PMID: 32042482; PMCID: PMC6927431.
↑ Koyama S, Morita K, Yamaguchi S, Fujikane T, Sasaki N, Aizawa H, Kikuchi K. An adult case of mumps brainstem encephalitis. Intern Med. 2000 Jun;39(6):499-502. doi: 10.2169/internalmedicine.39.499. PMID: 10852173.
↑ Sonmez FM, Odemis E, Ahmetoglu A, Ayvaz A. Brainstem encephalitis and acute disseminated encephalomyelitis following mumps. Pediatr Neurol. 2004 Feb;30(2):132-4. doi: 10.1016/j.pediatrneurol.2003.09.004. PMID: 14984908.
↑ Hoshino M, Sasaki R, Tsuchihashi Y, Otsuka Y, Sakurai K, Yamano Y. A case of autoimmune encephalitis with involuntary movements as the first symptom and suspected association with mumps virus infection. Rinsho Shinkeigaku. 2022 Feb 19;62(2):140-144. doi: 10.5692/clinicalneurol.cn-001669. Epub 2022 Jan 31. PMID: 35095050.