Subacute slerosing panencephalitis (SSPE): clinical features

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Subacute slerosing panencephalitis (SSPE): clinical features. Poor vaccination history. Fully referenced neurology checklist.

Risk factors

  • Poor vaccination history
  • Measles acquired before the age of 5 years
  • Associated HIV infection

Cerebral features

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Movement disorders

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Repetitive behaviours

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Vocalisations

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Peripheral nerve features

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Brainstem features

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Psychiatric features

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Ophthalmic features

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Ocular features

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Adult onset cases

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References

  1. Malhotra HS, Garg RK. Pearls & Oy-sters: Pisa syndrome: an unusual feature of adult-onset fulminant SSPE. Neurology 2015; 84:e12-e14. 
  2. Garg RK. Subacute sclerosing panencephalitis. J Neurol 2008; 255:1861-1871.
  3. Mekki M, Eley B, Hardie D, Wilmshurst JM. Subacute sclerosing panencephalitis: clinical phenotype, epidemiology, and preventive interventions. Dev Med Child Neurol 2019; 61:1139-1144. 
  4. Day GS, Tai P, Moharir M, Tang-Wai DF. Teaching NeuroImages: Recurrent SSPE presenting as Anton syndrome with cortical ribboning. Neurology 2015; 85:e141-e142.
  5. Tuncel D, Ozbek AE, Demirpolat G, Karabiber H. Subacute sclerosing panencephalitis with generalized seizure as a first symptom: a case report. Jpn J Infect Dis 2006; 59:317-319.
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