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Year : 2012  |  Volume : 7  |  Issue : 2  |  Page : 120-122

Atypical clinical course subacute sclerosing panencephalitis presenting as acute Encephalitis

1 Department of Pediatric Neurology, Mersin University School of Medicine, Mersin, Turkey
2 Department of Pediatric Intensive Care, Mersin University School of Medicine, Mersin, Turkey
3 Department of Pediatric Infection, Mersin University School of Medicine, Mersin, Turkey

Correspondence Address:
Mustafa Komur
Department of Pediatric Neurology, Mersin University School of Medicine, Zeytinlibahce, Mersin 33060
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Source of Support: None, Conflict of Interest: None

PMID: 23248691

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We report a 14-year-old boy who presented with loss of consciousness and gait instability. The electroencephalogram (EEG) showed generalized slowing with irregular activity and cerebral magnetic imaging revealed asymmetrical nonspecific signals on basal ganglia. His second electroencephalogram revealed periodical generalized high-voltage slow wave complexes which did not disappear with diazepam induction. Subacute sclerosing panencephalitis (SSPE) was considered and the diagnosis was confirmed with the identification of measles antibodies in cerebrospinal fluid. Our findings show that SSPE should be in mind in the differential diagnosis of meningoencephalitis and acute disseminated encephalomyelitis and highlight the significance of EEG in the diagnosis of unidentified cases.


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