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Neurology 2002;58:1568-1571
© 2002 American Academy of Neurology
Brief Communications

Spatial and temporal disease progression of adult-onset subacute sclerosing panencephalitis

C. Mawrin, MD, H. Lins, MD, B. Koenig, PhD, T. Heinrichs, MD, S. Murayama, MD PhD, E. Kirches, PhD, C. Boltze, MD and K. Dietzmann, MD

From the Departments of Neuropathology (Drs. Mawrin, Kirches, and Dietzmann), Neurology (Dr. Lins), Microbiology (Dr. Koenig), Radiology (Dr. Heinrichs), Pathology (Dr. Boltze), and Psychiatry (Dr. Mawrin), Otto von Guericke University, Magdeburg, Germany; and Department of Neuropathology (Dr. Murayama), Tokyo Metropolitan Institute of Gerontology, Japan.

Address correspondence and reprint requests to Dr. Christian Mawrin, Institute of Neuropathology, Otto von Guericke University, Leipziger Strasse 44, D-39120 Magdeburg, Germany; e-mail: christian.mawrin{at}medizin.uni-magdeburg.de

An adult-onset case of subacute sclerosing panencephalitis with occipitofrontal spread of the infection documented clinically and by MRI is reported. Autopsy revealed numerous intranuclear viral inclusions and widespread demyelination in both frontal lobes. In the occipital lobes where the disease started 5 years previously, inclusions were rare, but degenerative tissue changes were prominent. This case underlines the importance of measles virus migration for the progression of this fatal disorder.




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