title: Diagnostic dilemmas in fulminant subacute sclerosing panencephalitis (SSPE).
abstract: This report describes an eleven-year-old boy with atypical features of subacute sclerosing panencephalitis (SSPE), a rare complication of measles. He had only visual symptoms for 2 months followed by rapid neurological worsening to a vegetative state in 10 days. A diagnosis of SSPE was made based on the history of measles, characteristic ocular findings, compatible magnetic resonance imaging and electroencephalographic changes, and elevated ratio of cerebrospinal fluid to serum anti-measles antibody titers.
authors.affiliation: Departments of Pediatrics, All India Institute of Medical Sciences, New Delhi, India.
authors.forename: Nupur
authors.initials: N
authors.lastname: Sarkar
authors.forename: Sheffali
authors.initials: S
authors.lastname: Gulati
authors.forename: Lalit
authors.initials: L
authors.lastname: Dar
authors.forename: Shobha
authors.initials: S
authors.lastname: Broor
authors.forename: Veena
authors.initials: V
authors.lastname: Kalra
mesh_terms: D002648:Child; D004569:Electroencephalography; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008457:Measles / Q000150:complications*; D013344:Subacute Sclerosing Panencephalitis / Q000175:diagnosis* / Q000209:etiology*