Subacute sclerosing panencephalitis in the differential diagnosis of encephalitis.
The authors describe five cases of subacute sclerosing panencephalitis (SSPE) identified through the California Encephalitis Project that emphasize the importance of considering SSPE in the differential diagnosis of encephalitis, particularly among pediatric patients. SSPE was not suspected in the differential diagnosis of three of the cases until results of measles testing were known. The diagnosis of SSPE is often not considered by clinicians because of its rarity in the United States and the nonspecific clinical manifestations at onset.It was absurd: a 61-year-old New Yorker hustling down to Mississippi
on a fall weekend in 2002, just to watch a 21-year-old junior
quarterback in the flesh. In the N.F.L., 61 isn't old; it's ancient.
Just about everyone who was in the N.F.L. when Accorsi took his first
job, in 1970, was gone. He'd retire soon; the long-term future of the
New York Giants was of no practical consequence to him. But he'd seen
something he couldn't ignore -- a tape of an Ole Miss game. And what
he'd seen in the Ole Miss quarterback, Eli Manning, got his blood racing
in a way it hadn't in years. He wanted to see him play. He could have
watched him plenty on television, but Accorsi had grown almost hostile
to the way that football games have come to be