Psychiatric presentation of subacute sclerosing panencephalitis in pregnancy: A rare case report

Subacute sclerosing panencephalitis (SSPE) is a rare disease seen more frequently in children although cases of adult onset have also been described. There are very few cases of SSPE in pregnancy and most have been diagnosed on autopsy. It is a debilitating condition usually resulting in death withi...

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Main Authors: Neena S Sawant, Anuradha Rathod, Rohini Kokkalki, Neil Pawar
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2023-01-01
Series:Journal of Mental Health and Human Behaviour
Subjects:
Online Access:http://www.jmhhb.org/article.asp?issn=0971-8990;year=2023;volume=28;issue=2;spage=182;epage=184;aulast=Sawant
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author Neena S Sawant
Anuradha Rathod
Rohini Kokkalki
Neil Pawar
author_facet Neena S Sawant
Anuradha Rathod
Rohini Kokkalki
Neil Pawar
author_sort Neena S Sawant
collection DOAJ
description Subacute sclerosing panencephalitis (SSPE) is a rare disease seen more frequently in children although cases of adult onset have also been described. There are very few cases of SSPE in pregnancy and most have been diagnosed on autopsy. It is a debilitating condition usually resulting in death within 1–3 years. Due to its etiology and presenting features which occur 6–8 years after measles infection, SSPE often gets misdiagnosed or remains undiagnosed. We describe a case of SSPE in pregnancy who presented with psychiatric manifestations 7 days postpartum, and was treated as a case of postpartum psychosis. Her presenting neurological symptoms of confusion, ocular symptoms, and rigidity were masked by the behavioral component due to which the diagnosis of SSPE was a distant thought.
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spelling doaj.art-d4392a49cc474bfcb6561e5a883fcf0e2024-03-25T11:28:10ZengWolters Kluwer Medknow PublicationsJournal of Mental Health and Human Behaviour0971-89902023-01-0128218218410.4103/jmhhb.jmhhb_68_23Psychiatric presentation of subacute sclerosing panencephalitis in pregnancy: A rare case reportNeena S SawantAnuradha RathodRohini KokkalkiNeil PawarSubacute sclerosing panencephalitis (SSPE) is a rare disease seen more frequently in children although cases of adult onset have also been described. There are very few cases of SSPE in pregnancy and most have been diagnosed on autopsy. It is a debilitating condition usually resulting in death within 1–3 years. Due to its etiology and presenting features which occur 6–8 years after measles infection, SSPE often gets misdiagnosed or remains undiagnosed. We describe a case of SSPE in pregnancy who presented with psychiatric manifestations 7 days postpartum, and was treated as a case of postpartum psychosis. Her presenting neurological symptoms of confusion, ocular symptoms, and rigidity were masked by the behavioral component due to which the diagnosis of SSPE was a distant thought.http://www.jmhhb.org/article.asp?issn=0971-8990;year=2023;volume=28;issue=2;spage=182;epage=184;aulast=Sawantneurological signspregnancypsychiatric manifestationssubacute sclerosing panencephalitis
spellingShingle Neena S Sawant
Anuradha Rathod
Rohini Kokkalki
Neil Pawar
Psychiatric presentation of subacute sclerosing panencephalitis in pregnancy: A rare case report
Journal of Mental Health and Human Behaviour
neurological signs
pregnancy
psychiatric manifestations
subacute sclerosing panencephalitis
title Psychiatric presentation of subacute sclerosing panencephalitis in pregnancy: A rare case report
title_full Psychiatric presentation of subacute sclerosing panencephalitis in pregnancy: A rare case report
title_fullStr Psychiatric presentation of subacute sclerosing panencephalitis in pregnancy: A rare case report
title_full_unstemmed Psychiatric presentation of subacute sclerosing panencephalitis in pregnancy: A rare case report
title_short Psychiatric presentation of subacute sclerosing panencephalitis in pregnancy: A rare case report
title_sort psychiatric presentation of subacute sclerosing panencephalitis in pregnancy a rare case report
topic neurological signs
pregnancy
psychiatric manifestations
subacute sclerosing panencephalitis
url http://www.jmhhb.org/article.asp?issn=0971-8990;year=2023;volume=28;issue=2;spage=182;epage=184;aulast=Sawant
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AT neilpawar psychiatricpresentationofsubacutesclerosingpanencephalitisinpregnancyararecasereport