European Journal of Pediatrics

, Volume 161, Issue 8, pp 438–441

Early onset and rapidly progressive subacute sclerosing panencephalitis after congenital measles infection

  • Dounia Cruzado
  • Virginie Masserey-Spicher
  • Laurent Roux
  • Jacqueline Delavelle
  • Fabienne Picard
  • Charles-Antoine Haenggeli
Original Paper

DOI: 10.1007/s00431-002-0979-8

Cite this article as:
Cruzado, D., Masserey-Spicher, V., Roux, L. et al. Eur J Pediatr (2002) 161: 438. doi:10.1007/s00431-002-0979-8

Abstract.

We report an 18-month-old girl with rapidly progressive subacute sclerosing panencephalitis, whose non immunised mother had measles at the time of delivery. The patient presented with repetitive episodes of myoclonic jerks of the head and arms, followed by a drop of head and trunk with frequent falls. EEG, CSF studies and MRI confirmed the diagnosis. Despite therapy with isoprinosine and valproate, seizure activity continued and she became vegetative within 2 months, with severe spasticity and swallowing difficulties, and died at the age of 28 months. Early age of onset and rapid progression were most likely related to haematogenous in utero acquisition of the measles virus prior to delivery, as well as immaturity of neuronal and immune systems. Conclusion: this case emphasises the importance of a high measles vaccine coverage in the population in order to prevent the risk of disease in general and, in particular, gestational measles.

Pregnancy Subacute sclerosing panencephalitis

Copyright information

© Springer-Verlag 2002

Authors and Affiliations

  • Dounia Cruzado
    • 1
  • Virginie Masserey-Spicher
    • 1
  • Laurent Roux
    • 2
  • Jacqueline Delavelle
    • 3
  • Fabienne Picard
    • 4
  • Charles-Antoine Haenggeli
    • 1
  1. 1.Department of Paediatrics, Child Neurology, Children's Hospital, Rue Willy-Donzé 6, 1211 Geneva 14Switzerland
  2. 2.Department of Genetics and Microbiology, University Hospital, GenevaSwitzerland
  3. 3.Department of Neuroradiology, University Hospital, GenevaSwitzerland
  4. 4.Department of Neurology, University Hospital, GenevaSwitzerland