Treatment of Rasmussen's syndrome with ganciclovir.

Abstract:

:Since cytomegalovirus (CMV) has been implicated in the pathogenesis of Rasmussen's syndrome, we treated four patients with ganciclovir, a potent anti-CMV drug. A 7-year-old girl with seizures escalating to 60/day over 3 months despite triple antiepileptic drug therapy became seizure-free 5 days after initiation of treatment with no recurrence at 1.5 years follow-up. Focal neurologic signs, cognitive function, and the EEG returned to normal. Two patients treated 34 and 72 months after disease onset in association with epilepsy surgery had a reduction in seizures and one had no response. CMV genome was detected in the brains of two of the three patients in whom it was assessed. The response to antiviral therapy supports a viral etiology for chronic encephalitis of Rasmussen. If the disease is suspected, treatment with ganciclovir should be considered as early as possible.

journal_name

Neurology

journal_title

Neurology

authors

McLachlan RS,Levin S,Blume WT

doi

10.1212/wnl.47.4.925

subject

Has Abstract

pub_date

1996-10-01 00:00:00

pages

925-8

issue

4

eissn

0028-3878

issn

1526-632X

journal_volume

47

pub_type

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