Subacute sclerosing panencephalitis (SSPE) is a condition that affects the brain and spine. It is a gradual break down of nerve cells from constant swelling. SSPE is a rare condition that can occur after getting the measles .
When left untreated, SSPE almost always leads to death. Contact your doctor immediately if you think you or your child may have this condition.
SSPE is caused by an altered form of the measles virus. It occurs anywhere from 2-10 years after contracting measles.
The following factors are thought to increase the risk of SSPE:
- Age: 5-15 years old
- Gender: male
- Measle infection in infancy
- Not being vaccinated against measles
- Arabs and Sephardic Jews have an incidence that is six times higher than Ashkenazi Jews.
- Caucasians have a four-fold higher incidence than African Americans in the United States.
Symptoms of SSPE may include:
Your doctor will ask about your child’s symptoms and medical history. A physical exam will be done. Tests that may be done include:
Talk with your doctor about the best treatment plan. Treatment options include:
With advanced disease, tube feedings and nursing care may be necessary.
Anticonvulsant medications can reduce some symptoms of SSPE. In addition, there is some evidence that certain medications may help stabilize the disease and/or delay its progression. These may include:
- Inosine pranobex
- Interferon alpha
- Interferon beta
The best way to prevent SSPE is to avoid contracting measles. The measles vaccine is generally given at 12-15 months of age and again at 4-6 or 11-12 years. If you have not been vaccinated, avoid contact with people who are infected with measles until all of their symptoms are gone.
- Reviewer: Rimas Lukas, MD
- Review Date: 09/2012 -
- Update Date: 00/93/2012 -