Functional Hemispherotomy in a Patient with Rasmussen’s Encephalitis: A Case Report

Hemispherotomy in Rasmussen’s encephalitis

Authors

  • Kaisar Haroon Department of Neurosurgery, National Institute of Neurosciences and Hospital, Dhaka, Bangladesh
  • Tania Taher Holy Family Red Crescent Medical College Hospital, Dhaka, Bangladesh
  • Md Shafiul Alam Department of Neurosurgery, National Institute of Neurosciences and Hospital, Dhaka, Bangladesh
  • Md Arif Reza Department of Neurosurgery, National Institute of Neurosciences and Hospital, Dhaka, Bangladesh
  • Md Abdul Quddus Mia Department of Neuroanaesthesia, National Institute of Neurosciences and Hospital, Dhaka, Bangladesh
  • Sk Sader Hossain Department of Neurosurgery, National Institute of Neurosciences and Hospital, Dhaka, Bangladesh

DOI:

https://doi.org/10.3329/bmrcb.v48i1.60663

Keywords:

Rasmussen’s encepahalitis, Functional Hemispherotomy, Epilepsy, Drug resistance

Abstract

Background: Rasmussen’s encephalitis is a progressive disease with recurrent drug resistant epilepsy, unihemispheric brain atrophy, hemiplegia and cognitive decline.

Objectives: This is a disconnection surgery which disconnects the diseased lobe from the normal lobe. This helps in development of the normal cerebral hemisphere and also the child becomes seizure free.

Methods: A five year old boy was diagnosed with Rasmussen’s encephalitis. He underwent left sided transsylvian functional hemisherectomy. He had uneventful recovery.

Results: Before surgery he had recurrent seizures, frequent drop attacks and right sided hemiplegia and impaired cognition. He used to take three drugs for the control of the seizure. After surgery his mental state had improved, seizures were controlled with only sodium valproate. Patient’s mother was happy that he had no drop attacks and was able to sit and speak.

Conclusion: Functional hemispherectomy is a good option for drug resistant seizure in Ramussen’s encephalitis.

Bangladesh Med Res Counc Bull 2022; 48(1): 71-75         

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Published

2022-09-05

How to Cite

Haroon, K. ., Taher, T. ., Alam, M. S. ., Reza, M. A. . ., Mia , M. A. Q. ., & Hossain , S. S. . (2022). Functional Hemispherotomy in a Patient with Rasmussen’s Encephalitis: A Case Report : Hemispherotomy in Rasmussen’s encephalitis. Bangladesh Medical Research Council Bulletin, 48(1), 71–75. https://doi.org/10.3329/bmrcb.v48i1.60663

Issue

Vol. 48 No. 1 (2022)

Section

Case Report

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