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Diagnostic dilemmas in fulminant subacute sclerosing panencephalitis (SSPE)
Nupur Sarkar1, Sheffali Gulati, Lalit Dar
1Departments of Pediatrics, All India Institute of Medical Sciences, New Delhi, India.
Abstract:
This report describes an eleven-year-old boy with atypical features of subacute sclerosing panencephalitis (SSPE), a rare complication of measles. He had only visual symptoms for 2 months followed by rapid neurological worsening to a vegetative state in 10 days. A diagnosis of SSPE was made based on the history of measles, characteristic ocular findings, compatible magnetic resonance imaging and electroencephalographic changes, and elevated ratio of cerebrospinal fluid to serum anti-measles antibody titers.
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