Atypical Rasmussen's encephalitis treated with temporal lobectomy

Atypical Rasmussen's encephalitis treated with temporal lobectomy
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DOI:
10.1016/j.jocn.2010.05.011
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发表时间:
2011-02-01
影响因子:
2
通讯作者:
Eisenschenk, Stephan
Eisenschenk, Stephan
中科院分区:
医学4区
文献类型:
--
作者:
Abd-El-Barr, Muhammad M.;Wu, Brenda;Eisenschenk, Stephan

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拉斯穆森脑炎的特征是癫痫发作、进行性神经功能恶化和大脑慢性炎症。它通常出现在儿童时期,需要进行解剖或功能性半球切除术来控制癫痫发作。在这里,我们报告了一个成年女性谁提出了新的发病,医学难治性癫痫发作,没有进展。患者接受了右前颞叶切除术。病理样本符合拉斯穆森脑炎。患者在2年末次随访前一直无癫痫发作。这是一个独特的成人发病拉斯穆森脑炎的例子,表明这种脑炎代表了广泛的介绍,而不是一个特定的疾病。由爱思唯尔有限公司发布
Rasmussen's encephalitis is characterized by seizures, progressive neurological deterioration and chronic inflammation of the brain. It typically presents in childhood and requires anatomic or functional hemispherectomy for seizure control. Here, we report an adult woman who presented with new onset, medically refractory seizures that were not progressive. The patient underwent a right anterior temporal lobectomy. The pathologic samples were consistent with Rasmussen's encephalitis. The patient remained seizure free until her last follow-up at 2 years. This is an example of unique adult onset Rasmussen's encephalitis, suggesting that this encephalitis represents a wide spectrum of presentations rather than a specific disease. Published by Elsevier Ltd.