Functional Hemispherotomy in a Patient with Rasmussen’s Encephalitis: A Case Report

Q4 Medicine Bangladesh Medical Research Council Bulletin Pub Date : 2022-09-05 DOI:10.3329/bmrcb.v48i1.60663

Kaisar Haroon, Tania Taher, Md Shafiul Alam, Md Arif Reza, Md Abdul Quddus Mia, S. S. Hossain

{"title":"Functional Hemispherotomy in a Patient with Rasmussen’s Encephalitis: A Case Report","authors":"Kaisar Haroon, Tania Taher, Md Shafiul Alam, Md Arif Reza, Md Abdul Quddus Mia, S. S. Hossain","doi":"10.3329/bmrcb.v48i1.60663","DOIUrl":null,"url":null,"abstract":"Background: Rasmussen’s encephalitis is a progressive disease with recurrent drug resistant epilepsy, unihemispheric brain atrophy, hemiplegia and cognitive decline.\nObjectives: This is a disconnection surgery which disconnects the diseased lobe from the normal lobe. This helps in development of the normal cerebral hemisphere and also the child becomes seizure free.\nMethods: A five year old boy was diagnosed with Rasmussen’s encephalitis. He underwent left sided transsylvian functional hemisherectomy. He had uneventful recovery.\nResults: Before surgery he had recurrent seizures, frequent drop attacks and right sided hemiplegia and impaired cognition. He used to take three drugs for the control of the seizure. After surgery his mental state had improved, seizures were controlled with only sodium valproate. Patient’s mother was happy that he had no drop attacks and was able to sit and speak.\nConclusion: Functional hemispherectomy is a good option for drug resistant seizure in Ramussen’s encephalitis.\nBangladesh Med Res Counc Bull 2022; 48(1): 71-75 ","PeriodicalId":8704,"journal":{"name":"Bangladesh Medical Research Council Bulletin","volume":" ","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2022-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Bangladesh Medical Research Council Bulletin","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.3329/bmrcb.v48i1.60663","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}

引用次数: 0

Abstract

Background: Rasmussen’s encephalitis is a progressive disease with recurrent drug resistant epilepsy, unihemispheric brain atrophy, hemiplegia and cognitive decline. Objectives: This is a disconnection surgery which disconnects the diseased lobe from the normal lobe. This helps in development of the normal cerebral hemisphere and also the child becomes seizure free. Methods: A five year old boy was diagnosed with Rasmussen’s encephalitis. He underwent left sided transsylvian functional hemisherectomy. He had uneventful recovery. Results: Before surgery he had recurrent seizures, frequent drop attacks and right sided hemiplegia and impaired cognition. He used to take three drugs for the control of the seizure. After surgery his mental state had improved, seizures were controlled with only sodium valproate. Patient’s mother was happy that he had no drop attacks and was able to sit and speak. Conclusion: Functional hemispherectomy is a good option for drug resistant seizure in Ramussen’s encephalitis. Bangladesh Med Res Counc Bull 2022; 48(1): 71-75

查看原文

微信好友朋友圈 QQ好友复制链接

本刊更多论文

功能性半球切除术治疗拉斯穆森脑炎1例

背景：拉斯穆森脑炎是一种进展性疾病，伴有复发性耐药性癫痫、单半球脑萎缩、偏瘫和认知能力下降。目的：这是一种断开病变肺叶和正常肺叶的手术。这有助于正常大脑半球的发育，也有助于儿童免于癫痫发作。方法：一名五岁男童被诊断为拉斯穆森脑炎。他接受了左侧经蝶窦功能性半切除术。他平安无事地康复了。结果：术前他反复发作，频繁跌倒，右侧偏瘫，认知障碍。他曾服用三种药物来控制癫痫发作。手术后，他的精神状态有所改善，癫痫发作仅用丙戊酸钠控制。病人的母亲很高兴他没有跌倒发作，能够坐下来说话。结论：功能性大脑半球切除术是治疗拉姆森脑炎耐药性发作的一种良好选择。2022年孟加拉医学研究会；48（1）：71-75

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文去求助

来源期刊