RASMUSSENS ENCEPHALITIS A CASE REPORT

We report a case of Rasmussens Encephalitis . It is a rare chronic inflammatory neurological disease of unknown origin. It usually affects only one hemisphere. It is uncommon in adults. Rasmussens Encephalitis is characterized by intractable severe seizures, loss of motor skills and speech, paralysis on one side of the body Our case is a three year old male child referred from neurology department with complaint of intractable seizures, progressive hemiparesis, and deteriorated cognition following an episode of encephalitis. He showed a classical clinical presentation of focal seizures and left sided weakness since ten month of age. CT Brain taken at ten months of age was normal . Follow up MRI Brain done in April 2015 showed mild unilateral right cerebral hemisphere atrophic changes. T2 and FLAIR hyperintensity involving right hemisphere also seen. After three months follow up MRI done in July 2015 year showed progressive increase in hemispheric atrophy and signal changes involving right hemisphere that further support the diagnosis of Rasmussens Encephalitis.