Substantial Improvement in a Patient with Subacute Sclerosing Panencephalitis: An Unusual Case Report

Tremor Other Hyperkinet Mov (N Y). 2024 Nov 21:14:57. doi: 10.5334/tohm.972. eCollection 2024.

Abstract

Background: Subacute Sclerosing Panencephalitis (SSPE) is a fatal disorder marked by gradual cognitive and motor deterioration, leading to death typically within 1-3 years.

Case report: A 20-year-old woman with progressive abnormal behaviour, forgetfulness, and involuntary movements showed significant improvement after treatment with interferon and isoprinosine. Initially severely cognitively impaired and dependent, she regained independence and demonstrated marked cognitive enhancement, her MMSE improved from 15 to 28 and reduced myoclonus. Her progress was sustained over three years, substantially enhancing her quality of life.

Discussion: This SSPE case shows significant improvement in disability. Early identification of such cases is crucial for improved prognostic counselling for families.

Keywords: Improvement; Interferon; SSPE.

Publication types

  • Case Reports

MeSH terms

  • Antiviral Agents / therapeutic use
  • Female
  • Humans
  • Inosine Pranobex / therapeutic use
  • Subacute Sclerosing Panencephalitis* / complications
  • Subacute Sclerosing Panencephalitis* / drug therapy
  • Subacute Sclerosing Panencephalitis* / physiopathology
  • Young Adult

Substances

  • Antiviral Agents
  • Inosine Pranobex