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 |
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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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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.</description><identifier>ISSN: 0049-4755</identifier><identifier>EISSN: 1758-1133</identifier><identifier>DOI: 10.1177/0049475520939325</identifier><identifier>PMID: 32664798</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>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</subject><ispartof>Tropical doctor, 2020-10, Vol.50 (4), p.354-358</ispartof><rights>The Author(s) 2020</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c337t-3881a8763c314666e19c31180c979068e40bd2cb5f58b0d7e19f55bbc71ad2073</citedby><cites>FETCH-LOGICAL-c337t-3881a8763c314666e19c31180c979068e40bd2cb5f58b0d7e19f55bbc71ad2073</cites><orcidid>0000-0002-4439-4748</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/0049475520939325$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/0049475520939325$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,776,780,21798,27901,27902,43597,43598</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32664798$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Herath, HMMTB</creatorcontrib><creatorcontrib>Nandasiri, Shanika</creatorcontrib><creatorcontrib>Chandrakumara, Amila</creatorcontrib><creatorcontrib>Jayamaha, Jude</creatorcontrib><creatorcontrib>Senanayake, Sunethra</creatorcontrib><creatorcontrib>Goonaratne, Kishara</creatorcontrib><title>Subacute sclerosing panencephalitis: a rare cause of acute cortical visual impairment in an adult</title><title>Tropical doctor</title><addtitle>Trop Doct</addtitle><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.</description><subject>Acute Disease</subject><subject>Adult</subject><subject>Diagnosis, Differential</subject><subject>Electroencephalography</subject><subject>Humans</subject><subject>Male</subject><subject>Measles - complications</subject><subject>Subacute Sclerosing Panencephalitis - complications</subject><subject>Subacute Sclerosing Panencephalitis - diagnosis</subject><subject>Subacute Sclerosing Panencephalitis - physiopathology</subject><subject>Vision Disorders - diagnosis</subject><subject>Vision Disorders - etiology</subject><subject>Vision Disorders - physiopathology</subject><issn>0049-4755</issn><issn>1758-1133</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1UMtKAzEUDaLYWt27kizdjOZOJi93UnxBwYW6HjKZTE2Zl8lE8O9NaXUhCBfOhfOAcxA6B3IFIMQ1IYUqBGM5UVTRnB2gOQgmMwBKD9F8S2dbfoZOQtgQQhkwOEYzmnNeCCXnSL_ESps4WRxMa_0QXL_Go-5tb-z4rls3uXCDNfbaW2x0DBYPDd45zOAnZ3SLP12ICVw3auc720_Y9Vinq2M7naKjRrfBnu1xgd7u716Xj9nq-eFpebvKDKViyqiUoKXg1FAoOOcWVPpAEqOEIlzaglR1birWMFmRWiS-YayqjABd50TQBbrc5Y5--Ig2TGXngrFtm8oMMZR5kRdAQHGapGQnNalw8LYpR-867b9KIOV22PLvsMlysU-PVWfrX8PPkkmQ7QRBr225GaLvU9v_A78BmCl_zg</recordid><startdate>202010</startdate><enddate>202010</enddate><creator>Herath, HMMTB</creator><creator>Nandasiri, Shanika</creator><creator>Chandrakumara, Amila</creator><creator>Jayamaha, Jude</creator><creator>Senanayake, Sunethra</creator><creator>Goonaratne, Kishara</creator><general>SAGE Publications</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-4439-4748</orcidid></search><sort><creationdate>202010</creationdate><title>Subacute sclerosing panencephalitis: a rare cause of acute cortical visual impairment in an adult</title><author>Herath, HMMTB ; Nandasiri, Shanika ; Chandrakumara, Amila ; Jayamaha, Jude ; Senanayake, Sunethra ; Goonaratne, Kishara</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c337t-3881a8763c314666e19c31180c979068e40bd2cb5f58b0d7e19f55bbc71ad2073</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Acute Disease</topic><topic>Adult</topic><topic>Diagnosis, Differential</topic><topic>Electroencephalography</topic><topic>Humans</topic><topic>Male</topic><topic>Measles - complications</topic><topic>Subacute Sclerosing Panencephalitis - complications</topic><topic>Subacute Sclerosing Panencephalitis - diagnosis</topic><topic>Subacute Sclerosing Panencephalitis - physiopathology</topic><topic>Vision Disorders - diagnosis</topic><topic>Vision Disorders - etiology</topic><topic>Vision Disorders - physiopathology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Herath, HMMTB</creatorcontrib><creatorcontrib>Nandasiri, Shanika</creatorcontrib><creatorcontrib>Chandrakumara, Amila</creatorcontrib><creatorcontrib>Jayamaha, Jude</creatorcontrib><creatorcontrib>Senanayake, Sunethra</creatorcontrib><creatorcontrib>Goonaratne, Kishara</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Tropical doctor</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Herath, HMMTB</au><au>Nandasiri, Shanika</au><au>Chandrakumara, Amila</au><au>Jayamaha, Jude</au><au>Senanayake, Sunethra</au><au>Goonaratne, Kishara</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Subacute sclerosing panencephalitis: a rare cause of acute cortical visual impairment in an adult</atitle><jtitle>Tropical doctor</jtitle><addtitle>Trop Doct</addtitle><date>2020-10</date><risdate>2020</risdate><volume>50</volume><issue>4</issue><spage>354</spage><epage>358</epage><pages>354-358</pages><issn>0049-4755</issn><eissn>1758-1133</eissn><abstract>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.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>32664798</pmid><doi>10.1177/0049475520939325</doi><tpages>5</tpages><orcidid>https://orcid.org/0000-0002-4439-4748</orcidid></addata></record> |
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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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