Yeh P S, Lin C N, Lin H J, Tsai T C
Department of Neurology, Chi-Mei Foundation Hospital, Tainan, Taiwan.
J Formos Med Assoc. 2000 Jul;99(7):568-71.
Chronic focal encephalitis in adults is rare. Here we report a case of chronic focal encephalitis with epilepsy in a man. A 53-year-old man was admitted to our hospital because of right-sided focal seizures and epilepticus partialis continua. Brain imaging studies demonstrated progressive, focal, left cerebral atrophy. Prominent degenerative changes including neuronal loss and astrocytic gliosis were found on brain biopsy. Although the characteristics were typical of Rasmussen's encephalitis, unlike chronic focal encephalitis in children, his seizures were easily controlled by traditional antiepileptic therapy.
成人慢性局灶性脑炎较为罕见。在此，我们报告一例患有癫痫的成年男性慢性局灶性脑炎病例。一名53岁男性因右侧局灶性癫痫发作和持续性部分性癫痫持续状态入住我院。脑成像研究显示进行性、局灶性左侧脑萎缩。脑活检发现包括神经元丢失和星形胶质细胞增生在内的显著退行性改变。尽管其特征典型的为拉斯穆森脑炎，但与儿童慢性局灶性脑炎不同，他的癫痫发作很容易通过传统抗癫痫治疗得到控制。
