Acıbadem Üniversitesi Sağlık Bilimleri Dergisi 2011 , Vol 2, Issue 2
Unusual Mri Findings In a Child With Sspe
Uğur Işık, Şebnem Kuter
Acıbadem Üniversitesi Tıp Fakültesi, Pediatri Anabilim Dalı, İstanbul, Türkiye Subacute sclerosing panencephalitis (SSPE) is a progressive neurodegenerative disease developing after measles infection. It has a bad prognosis. We present here a child with SSPE with unusual brain MRI findings. A 13 yearold girl presented to our child neurology clinic with seizures and worsening neurological symptoms. She only had right basal ganglia (putaminal) hyperintensity in her brain MRI. A metabolic disorder was more likely with these MRI findings. However her EEG was suggestive of SSPE. A lumbar puncture was performed and it showed high anti-measles antibodies, which provided the definitive diagnosis. In patients with isolated basal ganglia lesions in their MRI, SSPE should be considered in the differential diagnosis. Keywords : basal ganglia, children, MRI, SSPE