Rehabilitation process of the patient with Rasmussen encephalitis – case description

Authors

  • Ewa Lenart-Domka Instytut Fizjoterapii, Uniwersytet Rzeszowski; Oddział Rehabilitacji Neurologicznej w Regionalnym Ośrodku Rehabilitacyjno- Edukacyjnym dla Dzieci i Młodzieży, Szpital Wojewódzki nr 2 w Rzeszowie

Keywords:

Rasmussen encephalitis, rehabilitation

Abstract

Introduction: Rasmussen encephalitis is a very rare chronic inflammatory disease of unknown etiology beginning usually in children between 2 and 10 years old. It causes intractable, extremely difficult to medication epileptic seizures, progressive hemiparesis and gradual mental deterioration and requires multifocal treatment.

Aim of the study: The aim of the study is to present the assumptions, difficulties and results of rehabilitation in Rasmussen encephalitis.

Material and method: The case description of 13-year-old girl with Rasmussen encephalitis.

Results and conclusions: Rehabilitation in Rasmussen encephalitis is difficult because of intractable epileptic seizures, problems in communication and cooperation caused by progressive mental retardation. Despite this it is possible to gain improvement of patient’s mobility and self service.

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References

Kozubski W, Liberski P: Neurologia. Podręcznik dla studentów medycyny (red.). Warszawa: Wydawnictwo Lekarskie PZWL, 2006, 404

Rasmussen T,Olszewski, Lloydsmith D: Focal seizures due to chronic localized encephalitis. Neurology 1958; 8(6):435-45

Vein A.A, van Emde Boas W: Kozhevnikov epilepsy: the disease and its eponym. Epilepsia 2011; 52: 212–218

Dąbrowska J, Sendrowski K, Artemowicz B, Śmigielska-Kuzia J, Boćkowski, Olchowik B, Kiryluk B. Zespół Kożewnikowa u 12-letniego chłopca. Ewolucja obrazu i przebiegu klinicznego. Neurol Dziec 2011; 20, 41: 141-147

Papetti L, Nicita F, Granata T, Guerrini R, Ursitti F, Properzi E, Iannetti P, Spalice A. Early add-on immunoglobulin administration in Rasmussen encephalitis: the hypothesis of neuroimmunomodulation. Med Hypotheses. 2011 Nov;77(5):917-20

Thilo B, Stingele R, Knudsen K, Boor R, Bien CG, Deuschl G, et al. A case of Rasmussen encephalitis treated with rituximab. Nat Rev Neurol 2009, 5:458-462

Granata T, Andermann F. Rasmussen encephalitis.Handb ClinNeurol.2013;111:511-9;

Shioda M, Oguni H, Ito Y, Ochiai T, Hori T, Muto A, Takahashi S, Miyamoto A, Osaka H, Osawa M. Three children with Rasmussen encephalitis showing marked improvement in daily life activity following the functional hemispherectomy. 2011 Sep;43(5):373-7,

Terra-Bustamante VC, Machado HR, dos Santos Oliveira R, Serafini LN, Souza-Oliveira C, Escorsi-Rosset S, Yacubian EM, Naffah-Mazzacoratti Mda G, Scorza CA, Cavalheiro EA, Scorza FA, Sakamoto AC. Rasmussen encephalitis: long-term outcome after surgery. Childs Nerv Syst. 2009;25(5):583-9

Podsiadlo D, Richardson S: The timed “up & go”: a test of basic functional mobility for frail elderly persons. J Am Geriatr Soc 1991: 39, 142–148

Kupczyk K., Gurda B., Steinborn B.: Zespół Rasmussena – problemy diagnostyczne i terapeutyczne. Opis przypadku. Neurol Dziec 2009; 18: 85–90

Varghese B, Aneesh M, Singh N, Gilwaz P. A case of rasmussen encephalitis: the differential diagnoses and role of diagnostic imaging. Oman Med J. 2014; 29(1):67-70

Peariso K, Standridge S, Hallinan B, Leach J, Miles L, Greiner H. Presentation, diagnosis and treatment of bilateral Rasmussen’s encephalitis in a 12-year-old female. Epileptic Disorders 2013; 15: 324-332

Bien CG, Granata T, Antozzi C, Cross JH, Dulac O, Kurthen M, Lassmann H, Mantegazza R, Villemure JG, Spreafico R, Elger CE. Pathogenesis, diagnosis and treatment of Rasmussen encephalitis: a European consensus statement. Brain 2005;128:454-71

Schmalbach B, Lang N: New hope for Rasmussen encephalitis ? Discovery Medicine 2009; 8(42):130-132

Szkołuda G, Steinborn B: Rehabilitacja w zespole Rasmussena. Rehabilitacja w praktyce 2013; 2:19-26

Szkołuda G, Steinborn B. Usprawnianie w zespole Rasmussena. Nowiny Lekarskie 2012; 8 (4): 372-375

Suat E, Fatma U, NilgÜn B: The effects of dynamic ankle-foot orthoses on functional ambulation activities, weight bearing and spatio-temporal characteristics of hemiparetic gait. Disability and Rehabilitation 2011; 33 (25-26) : 2605-2611

Ridgewell E, Dobson F, Bach T, Baker R. A systematic review to determine best practice reporting guidelines for AFO interventions in studies involving children with cerebral palsy. Prosthetics and Orthotics International 2010; 34(2): 129–145

Published

2014-09-30

How to Cite

Lenart-Domka, E. (2014). Rehabilitation process of the patient with Rasmussen encephalitis – case description. European Journal of Clinical and Experimental Medicine, 12(3), 294–301. Retrieved from https://journals.ur.edu.pl/ejcem/article/view/12563