Department of Neurology, Vitreo - Sadguru Netra Chikitsalaya, Chitrakoot, India.
Dr.G.M. Taori - Central India Institute of Medical Science, Nagpur, India.
Ocul Immunol Inflamm. 2023 May;31(4):856-860. doi: 10.1080/09273948.2022.2054824. Epub 2022 Apr 11.
To report ocular findings in a case of atypical fulminant SSPE A 20-year-old male who came with macular necrotising retinitis in both his eyes in absence of any neurological feature. Within a week the patient developed dystonic posturing and seizures. CSF examination revealed raised measles antibody titres and EEG was suggestive of SSPE. The patient succumbed to the disease within 35 days of presentation. SSPE can rarely have a rapidly progressive downhill course without typical neurological features and ophthalmic features which appear to be more consistent may help in clinching the diagnosis in these cases.
报告一例非典型暴发性 SSPE 的眼部发现。患者为 20 岁男性，双眼出现黄斑坏死性视网膜炎，无任何神经特征。一周内，患者出现张力障碍姿势和癫痫发作。CSF 检查显示麻疹抗体滴度升高，EEG 提示 SSPE。患者在出现症状后 35 天内死亡。SSPE 很少在没有典型神经特征和眼部特征的情况下迅速进展为病情恶化，如果这些眼部特征更为一致，可能有助于确诊。
