Subacute sclerosing panencephalitis: a rare cause of acute cortical visual impairment in an adult

Adult onset subacute sclerosing panencephalitis (SSPE) after the third decade of life is rare and the manifestations can mimic disorders such as dysmyelinating and metabolic disorders. This case report presents a patient with acute binocular visual impairment in his fifth decade as the first manifes...

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Veröffentlicht in:Tropical doctor 2020-10, Vol.50 (4), p.354-358
Hauptverfasser: Herath, HMMTB, Nandasiri, Shanika, Chandrakumara, Amila, Jayamaha, Jude, Senanayake, Sunethra, Goonaratne, Kishara
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container_issue 4
container_start_page 354
container_title Tropical doctor
container_volume 50
creator Herath, HMMTB
Nandasiri, Shanika
Chandrakumara, Amila
Jayamaha, Jude
Senanayake, Sunethra
Goonaratne, Kishara
description Adult onset subacute sclerosing panencephalitis (SSPE) after the third decade of life is rare and the manifestations can mimic disorders such as dysmyelinating and metabolic disorders. This case report presents a patient with acute binocular visual impairment in his fifth decade as the first manifestation of SSPE. This is preventable with immunisation against measles. A prior history of measles infection may not be forthcoming in adult onset SSPE. This should be kept in mind as a differential diagnosis when a patient from endemic area presents with acute visual loss even in the absence of classic features. Periodic generalised discharges on the EEG without myoclonus may be seen in this condition rarely as in this case.
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subjects Acute Disease
Adult
Diagnosis, Differential
Electroencephalography
Humans
Male
Measles - complications
Subacute Sclerosing Panencephalitis - complications
Subacute Sclerosing Panencephalitis - diagnosis
Subacute Sclerosing Panencephalitis - physiopathology
Vision Disorders - diagnosis
Vision Disorders - etiology
Vision Disorders - physiopathology
title Subacute sclerosing panencephalitis: a rare cause of acute cortical visual impairment in an adult
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