Finding on brain MRI mimicking focal cortical dysplasia in early Rasmussen's encephalitis: A case report and review

Kuo Liang Chiang, Tai-Tong Wong, Shan Young Kwan, Ting Rong Hsu, Chung Hao Wang, Kai Ping Chang

Research output: Contribution to journalArticlepeer-review

5 Citations (Scopus)

Abstract

Introduction: Rasmussen's encephalitis (RE) is one of the important causes of refractory seizure. The most impressive clinical manifestation of RE is epilepsia partialis continua (EPC). Others include progressive hemiparesis and neuropsychological deterioration. Currently, the best approach to RE is hemispherectomy. Case histories: We describe a patient whose clinical manifestations were compatible with RE; however, the initial brain MRI was interpreted as focal cortical dysplasia over right parietal region. Discussion: The follow-up brain MRI 1 year later showed diffuse atrophy of the brain with more atrophic change in right hemisphere, and the EPC disappeared after right hemispherectomy.

Original languageEnglish
Pages (from-to)1501-1506
Number of pages6
JournalChild's Nervous System
Volume25
Issue number11
DOIs
Publication statusPublished - Jun 12 2009
Externally publishedYes

Keywords

  • Epilepsia partialis continua
  • Focal cortical dysplasia
  • Hemispherectomy
  • Rasmussen's encephalitis

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Clinical Neurology

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