Prem Chand, Poonam Manglani, Prem Kumar Maheshwari, Ali Faisal Saleem, Shahnaz Hamid Ibrahim.
Unusual Presentation of Subacute Sclerosing Panencephalitis (SSPE).
Infect Dis J Jan ;22(1):539-40.

We are reporting the case of a 8 years old boy who presented with hand tremors and aggressive behaviour for one and a half months followed by dystonia and regression of milestones to vegetative state in 15-20 days. There was a significant history of measles at 9 months of age. Diagnosis of Subacute Sclerosing Panencephalitis (SSPE) was made, based on past history of measles, regression of milestones, elevated cerebrospinal fluids measles antibody titer and elevated oligoclonal fragmentation of gamma-globulin. This was an unusual presentations of (SSPE) with rapid detoriation. Our report emphasizes the need for measles vaccine to prevent not only acute infection, but also its rare post infectious neurologic sequelae.

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