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Case Reports
. 2019 Jul;101(1):260-262.
doi: 10.4269/ajtmh.19-0215.

Case Report: Subacute Sclerosing Panencephalitis Presenting as Acute Encephalitis

Ravindra Kumar Garg  1 , Neeraj Kumar  1 , Imran Rizvi  1 , Amita Jain  2 , Ravi Shekhar Jaipuriar  1 , Praveen Kumar Sharma  1 , Hardeep Singh Malhotra  1 , Danish Nasar Khan  2 , Ravi Uniyal  1
Affiliations
Case Reports

Case Report: Subacute Sclerosing Panencephalitis Presenting as Acute Encephalitis

Ravindra Kumar Garg et al. Am J Trop Med Hyg. 2019 Jul.

Abstract

Subacute sclerosing panencephalitis (SSPE) is still a common disease in India which is characterized by a progressive mental decline, myoclonus, periodic encephalographic abnormalities, and raised anti-measles antibody titter in the cerebrospinal fluid. Acute fulminant SSPE is characterized by a rapid course of disease culminating in death, within 6 months. We report of a 10-year-old boy, who came with a 14-day history of continuous involuntary jerky movements of the left half of the body, including the head. There was a highly increased anti-measles IgG antibody titer, both in the cerebrospinal fluid and serum. We conclude that acute rapidly progressive SSPE can present as acute encephalitis syndrome.

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Figures

Figure 1.
Figure 1.
Brain magnetic resonance imaging showing focal T2 hyperintensity in the right parasagittal cortex.
See this image and copyright information in PMC

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