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Induction and Clinical Scoring of Chronic-Relapsing Experimental Autoimmune Encephalomyelitis

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Published on: July 4, 2007

Subacute Sclerosing Panencephalitis: Restricted Diffusion and Clinical Evolution.

Chandrajit Prasad¹, M Netravathi², Karthik Kulanthaivelu¹

¹Department of Neuroimaging and Interventional Radiology, National Institute of Mental Health and Neurosciences, Bengaluru, Karnataka, India.

Neurology India

|March 10, 2022

Summary

This summary is machine-generated.

Diffusion restriction on MRI is an infrequently described imaging feature of subacute sclerosing panencephalitis (SSPE). This finding can occur in grey and white matter, potentially indicating early disease or a rapid course.

Keywords:

Corpus callosum diffusion magnetic resonance imaging fulminant SSPE middle cerebellar peduncle subacute sclerosing panencephalitis

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Area of Science:

Neurology
Radiology
Pediatric Neurology

Background:

Subacute sclerosing panencephalitis (SSPE) is a rare, progressive neurological disease.
SSPE is characterized by a protracted clinical course and neurological deterioration.

Purpose of the Study:

To describe patterns of diffusion restriction in SSPE.
To correlate diffusion restriction findings with clinical presentation and disease severity.

Main Methods:

Retrospective analysis of clinical and neuroimaging data from eight SSPE patients.
Magnetic resonance imaging (MRI) on 3 T and 1.5-T systems.
Review and tabulation of imaging characteristics by two neuroradiologists.

Main Results:

Restricted diffusion was observed in basal ganglia, corpus callosum, white matter, and middle cerebellar peduncles.
No contrast enhancement or susceptibility was noted in diffusion-restricted lesions.
Six patients met criteria for fulminant SSPE (fSSPE), with greater parenchymal involvement.

Conclusions:

Restricted diffusion in SSPE can affect grey and white matter, supratentorial and infratentorial compartments.
Parenchymal diffusion restriction may indicate an early stage of SSPE.
Widespread diffusion restriction may predict a rapid disease progression, consistent with fSSPE.