拉斯穆森脑炎的病例报告与十年的耐火性和半球缩
Sajjad Al-Badri1, Aditya Duhan2, Rania H Al-Taie3
1College of Medicine University of Baghdad Baghdad Iraq.
Clinical case reports
|February 4, 2026
概括
拉斯穆森脑炎 (RE) 是一种罕见的大脑疾病,导致和神经衰退. 这一案例突出了一个患有RE的患者12年的旅程,尽管进行了广泛的治疗,但在阻止疾病进展方面取得了有限的成功.
科学领域:
- 神经学 神经学
- 神经免疫学 神经免疫学
- 儿科神经学 儿科神经学
背景情况:
- 拉斯穆森脑炎 (RE) 是一种罕见的慢性炎症神经系统疾病.
- 它影响大脑的一半球,导致耐药性,半和认知能力下降.
研究的目的:
- 描述一个21岁的RE患者的临床过程和管理.
- 为了说明12年来管理这种渐进的神经疾病的挑战.
主要方法:
- 病例报告详细介绍了一个患者12年的临床旅程.
- 通过神经成像 (半球缩) 和EEG (多焦放电) 证实了诊断.
- 治疗包括免疫调节疗法,右叶切除术和抗发作药物.
主要成果:
- 患者出现了耐火的焦点发作,自动运动特征,视觉幻觉和后视觉困惑.
- 观察到渐进的右半球缩和代谢障碍 (低血,二碳酸盐缺乏).
- 尽管进行了包括手术在内的干预措施,但部分控制了发作,但并没有阻止疾病的进展.
结论:
- 拉斯穆森脑炎在长期管理方面提出了重大挑战.
- 早期诊断和多模式治疗至关重要,但阻止疾病进展仍然很困难.
更多相关视频
09:57Electromagnetic Source Imaging in Presurgical Evaluation of Children with Drug-Resistant Epilepsy
Published on: September 20, 2024
06:04Frontal Disconnection for Treating Mild Malformation of Cortical Development with Oligodendroglial Hyperplasia in Epilepsy (MOGHE) in the Frontal Lobe
Published on: August 16, 2024
相关概念视频
Epilepsy and Seizures: Overview
Epilepsy is a chronic neurological disease marked by recurrent, unpredictable seizures. These seizures are caused by abnormal electrical discharges in the brain, leading to behavior, sensation, or consciousness alterations. They can also cause transient impairment of awareness, interfering with daily activities.
Various factors can trigger epilepsy, including genetic factors, brain damage, metabolic causes, and unknown etiology. Diagnosis of epilepsy involves electroencephalography (EEG), which...
Various factors can trigger epilepsy, including genetic factors, brain damage, metabolic causes, and unknown etiology. Diagnosis of epilepsy involves electroencephalography (EEG), which...
Rocky Mountain Spotted Fever
Rocky Mountain Spotted Fever (RMSF) is a severe tick-borne illness caused by Rickettsia rickettsii, a Gram-negative, coccobacillary bacterium. This pathogen is an obligate intracellular parasite, requiring a host cell for replication. Transmission occurs through the bite of an infected tick. In the United States, the most important vectors are Dermacentor variabilis (American dog tick) and Dermacentor andersoni (Rocky Mountain wood tick), though other tick species may also serve as vectors.
Encephalitis l: Introduction
Encephalitis is inflammation of the brain parenchyma, most often due to infections or autoimmune processes. It presents with neuropsychiatric features such as fever, altered mental status, behavioral changes, cognitive dysfunction, seizures, focal deficits, and sometimes autonomic instability. In some cases, the meninges are also involved, resulting in meningoencephalitis.Infectious CausesInfectious encephalitis is most commonly viral but can also result from bacterial, fungal, or parasitic...
Encephalitis ll: Pathophysiology
Encephalitis is inflammation of the brain parenchyma caused by direct viral invasion or immune-mediated mechanisms triggered by infections or tumors. Both processes lead to neuronal injury, disrupted neurotransmission, and diverse neurological symptoms, often with overlapping clinical and pathological features.Autoimmune EncephalitisIn autoimmune encephalitis, antibodies target neuronal antigens on cell surfaces, synapses, or within neurons. A key example is anti-NMDAR encephalitis, which can...
Hepatic Encephalopathy
DefinitionHepatic encephalopathy is a reversible neurologic syndrome that results from advanced liver dysfunction or portosystemic shunting. It leads to disturbances in cognition, behavior, and motor function due to the brain’s exposure to gut-derived toxins that the liver fails to detoxify.EtiologyThis condition develops either in the setting of acute fulminant hepatitis or progressively during chronic liver disease, such as cirrhosis and portal hypertension. Portosystemic shunting—including...
