Question:
Child presents with myoclonus jerk, decrease performance in school. There is history of fever at the age of 1 year with rash. It is suggestive of
Child presents with myoclonus jerk, decrease performance in school. There is history of fever at the age of 1 year with rash. It is suggestive of
Updated On: Jul 15, 2025
- Subacute sclerosing panencephalitis
- Mesial temporal sclerosis
- Polio
- Measles
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The Correct Option is A
Solution and Explanation
To determine the condition based on the symptoms and history provided, we can follow a logical approach:
- The child exhibits myoclonus jerk and decreased performance in school. These symptoms are indicative of neurological issues.
- There is a history of fever and rash at the age of 1 year. This detail is crucial, as it suggests a previous infection by a virus known for causing such symptoms.
- Considering these factors, we need to identify the condition from the given options:
| Condition | Relation to Symptoms |
|---|---|
| Subacute sclerosing panencephalitis (SSPE) | A rare chronic progressive encephalitis that occurs several years after a person has measles. It is characterized by the development of myoclonus and cognitive decline, which matches the child's symptoms. |
| Mesial temporal sclerosis | Primarily associated with seizures and epilepsy, but not outside its typical age range without other primary symptoms like fever/rash. |
| Polio | Causes muscle weakness and paralysis but does not directly explain myoclonus or cognitive decline. |
| Measles | Typically presents with fever and rash in the acute phase but without the chronic neurological sequelae described. |
The symptoms and history provided most closely align with Subacute sclerosing panencephalitis (SSPE), a condition that follows measles infection and causes both neurological and cognitive symptoms over time, which fits the scenario described.
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