[A personal case report of subacute sclerosing panencephalitis in an adult].
The paper describes the case of a 37-year woman, with no past history of measles infection, who initially showed behavioral disorders, interpretative and reference deliria with a persecutory content. Extrapyramidal rigidity, bradykinesia, myoclonia, dementia, hyperpyrexia and coma with decerebrate rigidity subsequently appeared. Instrumental tests showed a spinal fluid status with intrathecal IgG synthesis and oligoclonal pattern, aspecific signs of widespread electric anomalies in the EEG. Encephalic CT and NRM were altered showing multifocal damage to the white substance. Anti-measles antibody titres were high in both spinal fluid and serum. Post-mortem histological tests confirmed the clinical hypothesis of subacute sclerosing panencephalitis. The paper reviews existing reports and pays special attention to cases of SSPE in adults and those cases with a psychiatric outcome. Lastly, the role of neuroradiological methods in the diagnostic iter is assessed.
Appiotti
A
A
Divisione di Neurologia, Ospedale Mauriziano Umberto I, Torino.
Bacci
R
R
Daniele
D
D
Inglezis
A
A
Trebini
F
F
D000328:Adult; D001921:Brain / Q000000981:diagnostic imaging / Q000473:pathology; D003937:Diagnosis, Differential; D004569:Electroencephalography; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D011859:Radiography; D013344:Subacute Sclerosing Panencephalitis / Q000175:diagnosis* / Q000473:pathology / Q000523:psychology
Contributo personale alla panencefalite sclerosante subacuta nell'adulto.