Parmar Arpit, Ranjan Rajeev, Sagar Rajesh
Department of Psychiatry, All India Institute of Medical Sciences, New Delhi, India.
Department of Psychiatry, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India.
Indian J Psychol Med. 2017 Jul-Aug;39(4):534-536. doi: 10.4103/0253-7176.211756.
Subacute sclerosing panencephalitis (SSPE) is a rare slowly progressing neurological illness. Although patients with SSPE initially present with symptoms such as myoclonic jerks, cognitive decline, and personality/behavioral changes usually, rarely pure psychiatric symptoms (e.g., mania, psychosis, and catatonia) have also been reported during the initial course of the illness. We report an unusual case of an adolescent with SSPE presenting with prominent positive psychotic and catatonic symptoms with the absence of classical symptoms of SSPE in initial course of illness and further discussed the relevant literature.
亚急性硬化性全脑炎（SSPE）是一种罕见的、进展缓慢的神经系统疾病。虽然SSPE患者最初通常表现为肌阵挛性抽搐、认知衰退和人格/行为改变等症状，但在疾病初期也有罕见的单纯精神症状（如躁狂、精神病和紧张症）的报道。我们报告了一例不寻常的青少年SSPE病例，该患者在疾病初期表现出明显的阳性精神病性和紧张症症状，而没有SSPE的典型症状，并进一步讨论了相关文献。
