Heo S H, Lee M-S, Ahn T B, Park K C, Yoon S S, Chang D I, Chung K C
Department of Neurology, Kyung Hee University College of Medicine, #1 Hoegi-dong, Dongdaemun-gu, Seoul, 130-702, Korea.
Neurol Sci. 2007 Aug;28(4):185-7. doi: 10.1007/s10072-007-0818-9. Epub 2007 Aug 10.
Herein we report a case of encephalitis involving the unilateral hemisphere, with a clinical course different from that of Rasmussen syndrome. A 44-year-old man visited us because of headache and language abnormality. Cerebrospinal fluid examination showed lymphocytosis with increased level of protein. Brain MRI showed abnormal findings limited to the unilateral hemisphere. The symptoms and signs improved without any specific antiviral treatment in a week. However, language disturbance and right hemiparesis developed after a week. Steroid therapy was effective. He recovered without any neurologic sequelae. Our case was unusual encephalitis involving the unilateral hemisphere, which was benign and steroid-responsive.
在此，我们报告一例累及单侧半球的脑炎病例，其临床病程与拉斯穆森综合征不同。一名44岁男性因头痛和语言异常前来就诊。脑脊液检查显示淋巴细胞增多且蛋白水平升高。脑部MRI显示异常发现局限于单侧半球。未经任何特异性抗病毒治疗，症状和体征在一周内有所改善。然而，一周后出现了语言障碍和右侧偏瘫。类固醇治疗有效。他康复后未留下任何神经后遗症。我们的病例是累及单侧半球的罕见脑炎，为良性且对类固醇治疗有反应。
