A case of Ramussen's encephalitis in a 21-year old Filipino female : "one sided outbursts"

Publication Date

2018

Document Type

Research

Abstract

Rasmussen's Encephalitis is a rare, chronic, neurologic disorder, causing intractable focal seizures, progressive neurological motor deficits and cognitive decline, usually with unilateral cerebral atrophy. Incidence per year is 1.7 to 2.4 cases per 10 million people, 10% of cases occur in adults. Studies proved the possibility of bilateral hemispheric atrophy in 9 out of almost 200 reported cases. We are given a case of a 21 year old who initially presented with recurrent focal sensory deficits on right extremities, which progressed to focal then generalized tonic clonic seizures, repeatedly admitted as a case of seizure disorder. Initially, EEG and CT scans were unremarkable. Later on, diagnostic tests revealed cortical atrophy of bilateral cerebral hemispheres. Adult-onset and bilateral Rasmussen's encephalitis is a rare case. Serial EEG and imaging modalities are important in monitoring disease progression. This should be included in the differential diagnoses among patients with recurrent focal seizures.

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