Rasmussen's Encephalitis

Mitra, Nibedita; Kavitha, G; Nithya, M.; Bakhne, Atish

doi:10.3126/jnps.v35i3.10100

J. Nepal Paedtr. Soc.

2016

DOI: 10.3126/jnps.v35i3.10100

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Rasmussen's Encephalitis

Nibedita Mitra¹,

G Kavitha²,

M. Nithya³

et al.

Abstract: Rasmussen’s encephalitis is a chronic inflammatory disease of unknown origin affecting one cerebral hemisphere. We report a case of a seven year old boy who presented with unilateral seizures and progressive hemiparesis.J Nepal Paediatr Soc 2015;35(3):295-297

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Insights on cognitive reorganization after hemispherectomy in Rasmussen’s encephalitis. A narrative review

Borne,

Perrone-Bertolotti,

Ferrand-Sorbets

et al. 2024

Reviews in the Neurosciences

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Rasmussen’s encephalitis is a rare neurological pathology affecting one cerebral hemisphere, therefore, posing unique challenges. Patients may undergo hemispherectomy, a surgical procedure after which cognitive development occurs in the isolated contralateral hemisphere. This rare situation provides an excellent opportunity to evaluate brain plasticity and cognitive recovery at a hemispheric level. This literature review synthesizes the existing body of research on cognitive recovery following hemispherectomy in Rasmussen patients, considering cognitive domains and modulatory factors that influence cognitive outcomes. While language function has traditionally been the focus of postoperative assessments, there is a growing acknowledgment of the need to broaden the scope of language investigation in interaction with other cognitive domains and to consider cognitive scaffolding in development and recovery. By synthesizing findings reported in the literature, we delineate how language functions may find support from the right hemisphere after left hemispherectomy, but also how, beyond language, global cognitive functioning is affected. We highlight the critical influence of several factors on postoperative cognitive outcomes, including the timing of hemispherectomy and the baseline preoperative cognitive status, pointing to early surgical intervention as predictive of better cognitive outcomes. However, further specific studies are needed to confirm this correlation. This review aims to emphasize a better understanding of mechanisms underlying hemispheric specialization and plasticity in humans, which are particularly important for both clinical and research advancements. This narrative review underscores the need for an integrative approach based on cognitive scaffolding to provide a comprehensive understanding of mechanisms underlying the reorganization in Rasmussen patients after hemispherectomy.

show abstract

Insights on cognitive reorganization after hemispherectomy in Rasmussen’s encephalitis. A narrative review

Borne,

Perrone-Bertolotti,

Ferrand-Sorbets

et al. 2024

Reviews in the Neurosciences

View full text Add to dashboard Cite

show abstract

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Rasmussen's Encephalitis

Abstract: Rasmussen’s encephalitis is a chronic inflammatory disease of unknown origin affecting one cerebral hemisphere. We report a case of a seven year old boy who presented with unilateral seizures and progressive hemiparesis.J Nepal Paediatr Soc 2015;35(3):295-297

Cited by 1 publication

References 3 publications

Insights on cognitive reorganization after hemispherectomy in Rasmussen’s encephalitis. A narrative review

Insights on cognitive reorganization after hemispherectomy in Rasmussen’s encephalitis. A narrative review

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