sspe

Subacute sclerosing panencephalitis (SSPE)

Introduction

  • subacute sclerosing panencephalitis is a progressive, fatal brain disorder caused by a persistent measles virus infection resulting from a mutated, persistent measles virus residing in the central nervous system

Epidemiology

  • overall prevalence is estimated at 4 to 11 cases per 100,000 people who contract natural measles but risk is much higher the younger the patient when contracting measles:
    • risk soars dramatically to roughly 1 in 600 for infants who get measles before their first birthday
    • risk is approximately 1 in 1,700 to 1 in 3,300 when children contract measles between age 1 and 5 years
    • risk averages out to about 1 in 10,000 to 1 in 25,000 cases across all age groups combined

Clinical features

  • develops slowly, typically 6 to 8 years after an initial, early childhood measles infection
  • it is relentlessly progressive and almost always fatal within 1 to 3 years

Diagnosis

DDx

Rx

  • treating SSPE with immunosuppressive therapies meant for ADEM can dangerously accelerate the viral disease and prove fatal
sspe.txt · Last modified: 2026/09/02 02:34 by wh

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