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March 01, 1981; 31 (3) Article

Subacute sclerosing panencephalitis

Atypical absence attacks as first symptom

Akashi Ishikawa, Takashi Murayama, Nobuko Sakuma, Yohko Saito
First published March 1, 1981, DOI: https://doi.org/10.1212/WNL.31.3.311
Akashi Ishikawa
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Takashi Murayama
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Nobuko Sakuma
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Yohko Saito
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Citation
Subacute sclerosing panencephalitis
Atypical absence attacks as first symptom
Akashi Ishikawa, Takashi Murayama, Nobuko Sakuma, Yohko Saito
Neurology Mar 1981, 31 (3) 311; DOI: 10.1212/WNL.31.3.311

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Abstract

Subacute sclerosing panencephalitis was diagnosed in a 10-year-old girl who had suffered from atypical absence attacks for 3 months; diagnosis was made after 5 months of these attacks. Characteristic EEG findings included diffuse spike and wave complexes of about 2.5 Hz associated with desynchronization during the absence attacks, and recruiting rhythm during the tonic seizure. As the lesion responsible for these EEG patterns originated in the brainstem, subcortical structures were probably affected early in the disease. The SSPE complexes may have originated chiefly in the brainstem since, in this case, they were recognized even during the period of absence attacks.

  • © 1981 by the American Academy of Neurology

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