Rasmussen’s encephalopathy (RE): clinical features

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Rasmussen’s encephalopathy (RE): clinical features. This is a T-cell dominant inflammation. Fully referenced neurology checklist.

Pathology

  • This is a T-cell dominant inflammation
  • It may be triggered by a viral antigen
  • Anti GluR3 antibodies are positive: these are possibly secondary to brain damage

Clinical stages

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Demographic features

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Risk factors

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Clinical features

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Associated ipsilateral features

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Late-onset Rasmussen’s encephalopathy

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Differentials: other hemispheric epileptic syndromes

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References

  1. Bien CG, Granata T, Antozzi C, et al. Pathogenesis, diagnosis and treatment of Rasmussen encephalitis. Brain 2005; 128:454-471.
  2. Varadkar S, Bien CG, Kruse CA, et al. Rasmussen's encephalitis: clinical features, pathophysiology, and treatment advances. Lancet Neurol 2014; 13:195-205.
  3. Granata T, Cross H, Theodore W, Avanzini G. Immune-mediated epilepsies. Epilepsia 2011; 52(suppl 3):5-11.
  4. Fauser S, Elger CE, Woermann F, Bien CG. Rasmussen encephalitis: Predisposing factors and their potential role in unilaterality. Epilepsia 2021 (Online ahead of print).
  5. Avberšek A, Miserocchi A, McEvoy AW, et al. Multiphasic presentation of Rasmussen's encephalitis. Epileptic Disord 2015; 17:315-320.
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