সংজ্ঞা
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.
When left untreated, SSPE almost always leads to death. Contact your doctor right away if you think you or your child may have this condition.
কারণসমূহ
SSPE is caused either by an altered form of the measles virus or an abnormal immune response to measles. It occurs anywhere from 2-10 years after contracting measles.
ঝুঁকির কারণ
Factors that may increase the risk of SSPE include:
- Age: 5-15 years old
- লিঙ্গ পুরুষ
- Measles infection in infancy
- Not being vaccinated against measles
- Ethnicity:
- 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.
লক্ষণ
Symptoms of SSPE may include:
- Abnormal behavior
- বিরক্তি
- Loss of intellectual abilities
- স্মৃতিশক্তি হ্রাস
- Involuntary movements
- খিঁচুনি
- Inability to walk
- Speech impairment with poor understanding
- গিলতে অসুবিধা
- অন্ধত্ব
- Muteness
- চেতনা হ্রাস
রোগ নির্ণয়
Your doctor will ask about your child’s symptoms and medical history. A physical exam will be done.
আপনার শারীরিক তরল পরীক্ষা করা যেতে পারে। এটি রক্ত পরীক্ষার মাধ্যমে করা যেতে পারে।
আপনার শারীরিক গঠনের ছবি তোলার প্রয়োজন হতে পারে। এটি দিয়ে করা যেতে পারে:
- ইলেক্ট্রোকার্ডিওগ্রাম (ইসিজি, ইকেজি)
- গণনা করা টমোগ্রাফি (সিটি স্ক্যান
- ম্যাগনেটিক রেজোন্যান্স ইমেজিং (MRI) স্ক্যান
চিকিৎসা
Talk with your doctor about the best treatment plan. Treatment options include:
Supportive Therapy
With advanced disease, tube feedings and nursing care may be necessary.
ওষুধ
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
- Ribavirin
প্রতিরোধ
The best way to prevent SSPE is to get immunized 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.