2012
DOI: 10.1590/s1980-57642012dn06040014
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Basal ganglia lesions in subacute sclerosing panencephalitis

Abstract: The parieto-occipital region of the brain is the most frequently and severely affected in subacute sclerosing panencephalitis (SSPE). The basal ganglia, cerebellum and corpus callosum are less commonly involved. We describe a patient with SSPE confirmed by neuropathology based on brain magnetic resonance imaging showing extensive basal ganglia involvement and no significant involvement of other cortical structures. Though rarely described in SSPE, clinicians should be aware of this involvement. SSPE should be … Show more

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Cited by 5 publications
(3 citation statements)
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“…Cortical grey matter may show hyperintensity and restricted diffusion as well 21. Moreover, basal ganglia involvement (putamen and caudate), although rare with SSPE, has been documented 28. MRI may not contribute in diagnosing the early illness and is not stage-specific 29.…”
Section: Discussionmentioning
confidence: 99%
“…Cortical grey matter may show hyperintensity and restricted diffusion as well 21. Moreover, basal ganglia involvement (putamen and caudate), although rare with SSPE, has been documented 28. MRI may not contribute in diagnosing the early illness and is not stage-specific 29.…”
Section: Discussionmentioning
confidence: 99%
“…7 Almeida et al described a 15-year old boy with bilateral caudate and putaminal hyperintensities in the absence of cortical lesions in clinical stage III that rapidly progressed to stage IV. 8 Turaga et al described an 8-year-old girl who had a sudden demise due to clincal stage IIA and isolated basal ganglia hyperintensities without cortical and subcortical changes. 9 Akdal et al also described a 12-year-old boy in clinical stage IIB with unilateral left lentiform lesion with cerebral atrophy 10 ; however, the basal ganglia is an infrequent site of initial involvement in SSPE as seen in the index case.…”
Section: Discussionmentioning
confidence: 99%
“…The Jabbour classification characterizes SSPE by progressive cognitive decline and behavior changes followed by focal or generalized seizures as well as myoclonus, ataxia, and visual disturbance, eventually leading to the final stage of a vegetative state (1)(2)(3)(4). SSPE is considered diagnostic if the patient fulfills at least two major and one minor Dyken's criteria (4,5). The prognosis of SSPE is very poor, and most patients die within 1-3 years of diagnosis (4,6).…”
mentioning
confidence: 99%