Rasmussen syndrome and long-term response to thalidomide.

Abstract:

:We report a 13-year-old female who experienced symptoms and signs of Rasmussen encephalitis for the first time at the age of 5 years. Various therapeutic procedures, including conventional and new antiepileptic drugs, steroids, immunoglobulin, plasma exchanges, and partial hemispherectomy, were applied, but their results were unsatisfactory. During one of the exacerbations, when the patient's life was endangered, thalidomide was administered. Frequency and intensity of epileptic seizures were reduced significantly, and the quality of her life improved. Except for moderate neutropenia, the other adverse effects were not recognized. In our opinion, thalidomide is not a first-choice drug for Rasmussen encephalitis but is a good alternative only for cases refractory to other well-known and accepted therapeutic procedures.

journal_name

Pediatr Neurol

journal_title

Pediatric neurology

authors

Marjanovic BD,Stojanov LM,Zdravkovic DS,Kravljanac RM,Djordjevic MS

doi

10.1016/s0887-8994(03)00216-9

subject

Has Abstract

pub_date

2003-08-01 00:00:00

pages

151-6

issue

2

eissn

0887-8994

issn

1873-5150

pii

S0887899403002169

journal_volume

29

pub_type

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