RT Journal Article
SR Electronic
T1 Chorioretinitis: a potential clue to the early diagnosis of subacute sclerosing panencephalitis
JF Practical Neurology
JO Pract Neurol
FD BMJ Publishing Group Ltd
SP 293
OP 296
DO 10.1136/practneurol-2017-001646
VO 17
IS 4
A1 Vijayabala Jeevagan
A1 Athula Dissanayake
YR 2017
UL http://pn.bmj.com/content/17/4/293.abstract
AB We describe a 36-year-old man with subacute sclerosing panencephalitis (SSPE) presenting with chorioretinitis two years before onset of other neurological features. He had neither myoclonus nor the typical EEG features of SSPE. The diagnosis was confirmed in the appropriate clinical setting by detecting elevated measles antibody titres in cerebrospinal fluid and serum. Clinicians should consider SSPE among the differential diagnoses in chorioretinitis. This is particularly so if there is macular or perimacular involvement with concurrent involvement of the optic nerve in young patients, even without other characteristic neurological symptoms.