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

doi:10.1007/s00381-009-0905-8

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 journal › Article › peer-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 language	English
Pages (from-to)	1501-1506
Number of pages	6
Journal	Child's Nervous System
Volume	25
Issue number	11
DOIs	https://doi.org/10.1007/s00381-009-0905-8
Publication status	Published - Jun 12 2009
Externally published	Yes

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

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.",

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T2 - A case report and review

AU - Chiang, Kuo Liang

AU - Wong, Tai-Tong

AU - Kwan, Shan Young

AU - Hsu, Ting Rong

AU - Wang, Chung Hao

AU - Chang, Kai Ping

PY - 2009/6/12

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N2 - 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.

AB - 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.

KW - Epilepsia partialis continua

KW - Focal cortical dysplasia

KW - Hemispherectomy

KW - Rasmussen's encephalitis

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

Abstract

Keywords

ASJC Scopus subject areas

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