Related Experiment Video
Updated: Aug 18, 2026

Modeling Encephalopathy of Prematurity Using Prenatal Hypoxia-ischemia with Intra-amniotic Lipopolysaccharide in Rats
Published on: November 20, 2015
Subacute sclerosing panencephalitis (SSPE) associated with congenital measles infection
Enver Simşek1, Ayhan Oztürk, Cevdet Yavuz
1Department of Pediatrics, Abant Izzet Baysal University, Düzce Faculty of Medicine, Düzce, Turkey.
Abstract:
A 13-month-old male presented with repetitive episodes of myoclonic jerks of the head and extremities for two months. His past medical history revealed that his non-immunized mother had measles at the time of delivery. Measles antibody titers in serum and cerebrospinal fluid (CSF) were 1/512 (hemagglutinin inhibition [HI]) and 1/128 HI, respectively. Immunofixation electrophoresis of CSF revealed an oligoclonal IgG band. The magnetic resonance imaging (MRI) of the brain on T2-weighted images showed lesions of high signal intensity in the subcortical white matter. Electroencephalography (EEG) revealed periodic high-amplitude slow waves. Diagnosis of subacute sclerosing panencephalitis (SSPE) was based upon clinical presentation, a characteristic EEG, and abnormal CSF studies. MRI findings supported the diagnosis. To the best of our knowledge, this is only the 3rd case to date, of SSPE-associated congenital measles in the literature.
Insights
This case report details a rare instance of subacute sclerosing panencephalitis (SSPE) in a 13-month-old, linked to congenital measles infection in the infant. The diagnosis was confirmed through clinical signs, EEG, CSF analysis, and MRI findings.
Area of Science:
- Neurology
- Pediatrics
- Infectious Diseases
Background:
- Subacute sclerosing panencephalitis (SSPE) is a rare, progressive neurological disorder.
- Congenital measles infection is an uncommon cause of SSPE, with few documented cases.
- Early diagnosis and understanding of SSPE are crucial for managing affected children.
Observation:
- A 13-month-old male infant presented with recurrent myoclonic jerks.
- The infant's mother had measles during pregnancy, and the infant had elevated measles antibody titers.
- Neurological examination revealed characteristic EEG abnormalities and MRI showed white matter lesions.
Findings:
- The patient was diagnosed with SSPE based on clinical presentation, electroencephalography (EEG), cerebrospinal fluid (CSF) analysis, and brain MRI.
- CSF analysis revealed an oligoclonal IgG band, indicative of an intrathecal immune response.
- MRI findings demonstrated high signal intensity lesions in the subcortical white matter.
Implications:
- This case highlights the importance of considering congenital measles as a potential cause of SSPE.
- The findings contribute to the limited literature on SSPE associated with congenital measles.
- Further research is needed to understand the pathogenesis and long-term outcomes of SSPE in congenital measles cases.
Related Concept Videos
Encephalitis l: Introduction
Encephalitis ll: Pathophysiology
Rocky Mountain Spotted Fever
Bacterial Meningitis I: Introduction
Respiratory Syncytial Virus Disease
Multiple Sclerosis l: Introduction

