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.

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.

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