Subacute sclerosing panencephalitis (SSPE) associated with congenital measles infection

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...

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Main Authors: Enver Simşek, Ayhan Oztürk, Cevdet Yavuz, Kenan Kocabay
Format: Article
Language:English
Published: Hacettepe University Institute of Child Health 2005-01-01
Series:The Turkish Journal of Pediatrics
Online Access:https://turkjpediatr.org/article/view/2683
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author Enver Simşek
Ayhan Oztürk
Cevdet Yavuz
Kenan Kocabay
author_facet Enver Simşek
Ayhan Oztürk
Cevdet Yavuz
Kenan Kocabay
author_sort Enver Simşek
collection DOAJ
description 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.
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publishDate 2005-01-01
publisher Hacettepe University Institute of Child Health
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spelling doaj-art-63a6afd02bf54ed199f9f1822b2e40962025-08-20T02:01:57ZengHacettepe University Institute of Child HealthThe Turkish Journal of Pediatrics0041-43012791-64212005-01-01471Subacute sclerosing panencephalitis (SSPE) associated with congenital measles infectionEnver Simşek0Ayhan OztürkCevdet YavuzKenan KocabayDepartment of Pediatrics, Abant Izzet Baysal University, Düzce Faculty of Medicine, Düzce, Turkey. 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. https://turkjpediatr.org/article/view/2683
spellingShingle Enver Simşek
Ayhan Oztürk
Cevdet Yavuz
Kenan Kocabay
Subacute sclerosing panencephalitis (SSPE) associated with congenital measles infection
The Turkish Journal of Pediatrics
title Subacute sclerosing panencephalitis (SSPE) associated with congenital measles infection
title_full Subacute sclerosing panencephalitis (SSPE) associated with congenital measles infection
title_fullStr Subacute sclerosing panencephalitis (SSPE) associated with congenital measles infection
title_full_unstemmed Subacute sclerosing panencephalitis (SSPE) associated with congenital measles infection
title_short Subacute sclerosing panencephalitis (SSPE) associated with congenital measles infection
title_sort subacute sclerosing panencephalitis sspe associated with congenital measles infection
url https://turkjpediatr.org/article/view/2683
work_keys_str_mv AT enversimsek subacutesclerosingpanencephalitissspeassociatedwithcongenitalmeaslesinfection
AT ayhanozturk subacutesclerosingpanencephalitissspeassociatedwithcongenitalmeaslesinfection
AT cevdetyavuz subacutesclerosingpanencephalitissspeassociatedwithcongenitalmeaslesinfection
AT kenankocabay subacutesclerosingpanencephalitissspeassociatedwithcongenitalmeaslesinfection