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Related Concept Videos

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Arboviral encephalitis refers to brain inflammation caused by arthropod-borne viruses, particularly those transmitted through mosquito vectors. Among these, West Nile virus (WNV), a member of the Flaviviridae family, is a significant public health concern. WNV is an enveloped, positive-sense, single-stranded RNA virus. Human infection typically begins when an infected mosquito introduces the virus into the dermis during feeding. The primary transmission cycle involves birds as amplifying hosts...
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Viral meningitis is the most common form of meningitis and is often referred to as aseptic meningitis to indicate the absence of bacterial involvement. It is generally milder than bacterial meningitis, with symptoms including fever, headache, stiff neck, drowsiness, nausea, photophobia, and vomiting. Rarely, more severe manifestations or death may occur. Common causative agents include enteroviruses, particularly coxsackie A and B viruses and echoviruses, all members of the Enterovirus genus...
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Epilepsy is primarily characterized by unpredictable seizures, either provoked by an identifiable factor, such as injury or illness, or unprovoked, occurring spontaneously without apparent cause.
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Induction and Clinical Scoring of Chronic-Relapsing Experimental Autoimmune Encephalomyelitis
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Multiphasic presentation of Rasmussen's encephalitis.

Andreja Avberšek1, Anna Miserocchi2, Andrew W McEvoy2

  • 1Department of Clinical and Experimental Epilepsy, Institute of Neurology, UCL Institute of Neurology, Queen Square, London.

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Rasmussen's encephalitis, a rare inflammatory brain disorder causing epilepsy, can fluctuate. This case highlights symptom and MRI changes, expanding our understanding of this condition.

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Area of Science:

  • Neurology
  • Neuroinflammation
  • Epileptology

Background:

  • Rasmussen's encephalitis is a rare, chronic inflammatory neurological disorder.
  • It is characterized by drug-resistant focal epilepsy.
  • Onset typically occurs in childhood but can rarely present in adolescence or adulthood.

Observation:

  • This report details a unique case of Rasmussen's encephalitis.
  • The patient exhibited prominent, recurrent fluctuations in neurological symptoms.
  • Magnetic resonance imaging (MRI) demonstrated corresponding fluctuating changes.

Findings:

  • The observed fluctuations in symptoms and MRI findings expand the known clinical spectrum of Rasmussen's encephalitis.
  • This presentation challenges typical disease progression patterns.
  • Highlights the diagnostic considerations for atypical inflammatory epilepsy.

Implications:

  • Understanding the diverse presentations of Rasmussen's encephalitis is crucial for accurate diagnosis and management.
  • This case underscores the importance of longitudinal monitoring, including serial MRI, in complex epilepsy cases.
  • Further research into the pathophysiology of Rasmussen's encephalitis may reveal novel therapeutic targets.