A patient with SSPE who had prominent diffuse white matter hypodensiti
es on CT scan indicating central white matter demyelination and nerve
conduction abnormalities suggestive of peripheral neuropathy is report
ed. Diagnosis was established by demonstration of elevated CSF measles
antibody titers and presence of virus antigen and nucleocapsid in per
ipheral nerve. To our knowledge, this is the first report of demonstra
tion of measles virus nucleocapsides and antigen in the peripheral ner
ve in SSPE.