| Late onset Rasmussen's encephalitis with triple pathology. | |
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MedLine Citation:
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PMID: 19800797 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Rasmussen's encephalitis is a devastating illness characterized by intractable focal seizures due to chronic localised encephalitis. We report on a rare variant of delayed onset Rasmussen's encephalitis with triple pathology. A 27-year-old male, who was initially diagnosed with seizures when he was 16 years old, presented with focal seizures that became refractory to multiple anticonvulsants. Multiple investigations, including subdural electrode monitoring, revealed foci of onset in the right frontotemporal region. The patient underwent right front-temporal lobectomy. Post-operatively, the seizures became more severe and he developed new epilepsia partialis continua. Treatment with intravenous immunoglobulin was unsuccessful. He subsequently underwent a right hemispherectomy that rendered him seizure free. The three pathologies identified were old ischemic changes, type II cortical dysplasia and stage II Rasmussen's encephalitis. |
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Authors:
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J Y Cheong; C Wong; A Bleasel; W Varikatt; T Ng; M A Dexter |
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Publication Detail:
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Type: Case Reports; Journal Article Date: 2009-10-02 |
Journal Detail:
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Title: Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia Volume: 16 ISSN: 1532-2653 ISO Abbreviation: J Clin Neurosci Publication Date: 2009 Dec |
Date Detail:
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Created Date: 2010-05-11 Completed Date: 2010-08-12 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9433352 Medline TA: J Clin Neurosci Country: Scotland |
Other Details:
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Languages: eng Pagination: 1677-81 Citation Subset: IM |
Affiliation:
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Department of Neurosurgery Westmead Hospital, Hawksbury Road, Westmead, New South Wales 2145, Australia. Santiago-james@hotmail.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Cognition Disorders / etiology Encephalitis / complications, pathology*, radionuclide imaging Epilepsy / etiology Frontal Lobe / pathology, radionuclide imaging Humans Lymphocytes / pathology Magnetic Resonance Imaging / methods Male Neurons / pathology Sclerosis / etiology, pathology Temporal Lobe / pathology, radionuclide imaging Tomography, Emission-Computed, Single-Photon / methods |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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