Sharma Suraj, Dhakal Prakash, Aryal Sajiva, Bhandari Seema, Sharma Abhishek
BIR, Hospital, Kathmandu, Nepal.
Kathmandu University.
Radiol Case Rep. 2022 Jul 29;17(10):3587-3590. doi: 10.1016/j.radcr.2022.06.097. eCollection 2022 Oct.
Rasmussen's encephalitis (RE) is a relatively rare chronic inflammatory neurological disease that usually only affects one hemisphere of the brain. It primarily affects children under the age of 10, although it can also affect teens and adults, causing drug-resistant seizures, progressive hemiparesis, and dementia. RE presents as a challenging diagnosis with MRI as the cornerstone of the evaluation and nuclear imaging as a complementary tool. We'd like to present a case of a 12-year-old girl who was diagnosed with RE after an MRI. In this study, we examine the diagnostic criteria, differential diagnoses, and issues that underpin the diagnostic challenge in great detail.
拉斯穆森脑炎(RE)是一种相对罕见的慢性炎症性神经疾病,通常仅影响大脑的一个半球。它主要影响10岁以下的儿童,不过也可能影响青少年和成年人,导致药物难治性癫痫、进行性偏瘫和痴呆。RE的诊断颇具挑战性,以MRI作为评估的基石,核成像作为辅助工具。我们在此呈现一例12岁女孩在接受MRI检查后被诊断为RE的病例。在本研究中,我们详细探讨了诊断标准、鉴别诊断以及构成诊断挑战的相关问题。