Acute unilateral enlargement of the parotid gland immediately post craniotomy in a pediatric patient: a case report

Jonathan Rowell, Anne M Lynn, Tanya Z Filardi, Juanita Celix, Jeffrey G Ojemann
Child's Nervous System: ChNS: Official Journal of the International Society for Pediatric Neurosurgery 2010, 26 (9): 1239-42
A temporary acute unilateral enlargement of the parotid gland or "anesthesia mumps" has been described in both surgical and anesthesia literature. It has been described in elderly, dehydrated, poorly nourished, and post-operative patients. We present a 5-year-old patient who underwent a left temporal craniotomy for seizure focus resection and quadriceps muscle biopsy. Immediately post procedure, he was noted to have an acute unilateral enlargement of the right parotid gland. We report acute unilateral parotitis as a possible, but uncommon, complication of positioning in the pediatric population and to discuss possible pathophysiology and prevention, as well as a review of the available literature.

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