Chronic, progressive, unilateral brain inflammation of uncertain etiology
Characterized by hemispheric volume loss and difficulty controlling focal seizure activity
IMAGING
General Features
CT Findings
MR Findings
Nuclear Medicine Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Staging, Grading, & Classification
Gross Pathologic & Surgical Features
Microscopic Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Image Interpretation Pearls
Selected References
Foster MT et al: Motor cortex relocation after complete anatomical hemispherectomy for intractable epilepsy secondary to Rasmussen's encephalitis. Br J Neurosurg. 1-3, 2019
Dupont S et al: Late-onset Rasmussen encephalitis: a literature appraisal. Autoimmun Rev. 16(8):803-10, 2017
Gurcharran K et al: Anti-N-methyl-D-aspartate receptor encephalitis and Rasmussen-like syndrome: an association? Pediatr Neurol. 66:104-7, 2017
Leypoldt F et al: Autoimmune encephalopathies. Ann N Y Acad Sci. 1338:94-114, 2014
Press C et al: The Janus-faced nature of Rasmussen's encephalitis. Semin Pediatr Neurol. 21(2):129-36, 2014
Varadkar S et al: Rasmussen's encephalitis: clinical features, pathobiology, and treatment advances. Lancet Neurol. 13(2):195-205, 2014
Wang DD et al: Unilateral holohemispheric central nervous system lesions associated with medically refractory epilepsy in the pediatric population: a retrospective series of hemimegalencephaly and Rasmussen's encephalitis. J Neurosurg Pediatr. 1-12, 2014
Takei H et al: Dual pathology in Rasmussen's encephalitis: a study of seven cases and review of the literature. Neuropathology. 30(4):381-91, 2010
Cauley KA et al: Diffusion tensor imaging and tractography of Rasmussen encephalitis. Pediatr Radiol. 39(7):727-30, 2009
Faingold R et al: MRI appearance of Rasmussen encephalitis. Pediatr Radiol. 39(7):756, 2009
Terra-Bustamante VC et al: Rasmussen encephalitis: long-term outcome after surgery. Childs Nerv Syst. 25(5):583-9, 2009
Tessonnier L et al: Perfusion SPECT findings in a suspected case of Rasmussen encephalitis. J Neuroimaging. 19(4):378-80, 2009
Misra UK et al: The prognostic role of magnetic resonance imaging and single-photon emission computed tomography in viral encephalitis. Acta Radiol. 49(7):827-32, 2008
Cook SW et al: Cerebral hemispherectomy in pediatric patients with epilepsy: comparison of three techniques by pathological substrate in 115 patients. J Neurosurg. 100(2 Suppl Pediatrics):125-41, 2004
Granata T et al: Experience with immunomodulatory treatments in Rasmussen's encephalitis. Neurology. 61(12):1807-10, 2003
Maeda Y et al: Rasmussen syndrome: multifocal spread of inflammation suggested from MRI and PET findings. Epilepsia. 44(8):1118-21, 2003
Bien CG et al: Diagnosis and staging of Rasmussen's encephalitis by serial MRI and histopathology. Neurology. 58(2):250-7, 2002
Kim SJ et al: A longitudinal MRI study in children with Rasmussen syndrome. Pediatr Neurol. 27(4):282-8, 2002
Fiorella DJ et al: (18)F-fluorodeoxyglucose positron emission tomography and MR imaging findings in Rasmussen encephalitis. AJNR Am J Neuroradiol. 22(7):1291-9, 2001
Related Anatomy
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Related Differential Diagnoses
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References
Tables
Tables
KEY FACTS
Terminology
Imaging
Top Differential Diagnoses
Pathology
Clinical Issues
Diagnostic Checklist
TERMINOLOGY
Abbreviations
Rasmussen encephalitis (RE)
Synonyms
Chronic focal (localized) encephalitis
Definitions
Chronic, progressive, unilateral brain inflammation of uncertain etiology
Characterized by hemispheric volume loss and difficulty controlling focal seizure activity
IMAGING
General Features
CT Findings
MR Findings
Nuclear Medicine Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Staging, Grading, & Classification
Gross Pathologic & Surgical Features
Microscopic Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Image Interpretation Pearls
Selected References
Foster MT et al: Motor cortex relocation after complete anatomical hemispherectomy for intractable epilepsy secondary to Rasmussen's encephalitis. Br J Neurosurg. 1-3, 2019
Dupont S et al: Late-onset Rasmussen encephalitis: a literature appraisal. Autoimmun Rev. 16(8):803-10, 2017
Gurcharran K et al: Anti-N-methyl-D-aspartate receptor encephalitis and Rasmussen-like syndrome: an association? Pediatr Neurol. 66:104-7, 2017
Leypoldt F et al: Autoimmune encephalopathies. Ann N Y Acad Sci. 1338:94-114, 2014
Press C et al: The Janus-faced nature of Rasmussen's encephalitis. Semin Pediatr Neurol. 21(2):129-36, 2014
Varadkar S et al: Rasmussen's encephalitis: clinical features, pathobiology, and treatment advances. Lancet Neurol. 13(2):195-205, 2014
Wang DD et al: Unilateral holohemispheric central nervous system lesions associated with medically refractory epilepsy in the pediatric population: a retrospective series of hemimegalencephaly and Rasmussen's encephalitis. J Neurosurg Pediatr. 1-12, 2014
Takei H et al: Dual pathology in Rasmussen's encephalitis: a study of seven cases and review of the literature. Neuropathology. 30(4):381-91, 2010
Cauley KA et al: Diffusion tensor imaging and tractography of Rasmussen encephalitis. Pediatr Radiol. 39(7):727-30, 2009
Faingold R et al: MRI appearance of Rasmussen encephalitis. Pediatr Radiol. 39(7):756, 2009
Terra-Bustamante VC et al: Rasmussen encephalitis: long-term outcome after surgery. Childs Nerv Syst. 25(5):583-9, 2009
Tessonnier L et al: Perfusion SPECT findings in a suspected case of Rasmussen encephalitis. J Neuroimaging. 19(4):378-80, 2009
Misra UK et al: The prognostic role of magnetic resonance imaging and single-photon emission computed tomography in viral encephalitis. Acta Radiol. 49(7):827-32, 2008
Cook SW et al: Cerebral hemispherectomy in pediatric patients with epilepsy: comparison of three techniques by pathological substrate in 115 patients. J Neurosurg. 100(2 Suppl Pediatrics):125-41, 2004
Granata T et al: Experience with immunomodulatory treatments in Rasmussen's encephalitis. Neurology. 61(12):1807-10, 2003
Maeda Y et al: Rasmussen syndrome: multifocal spread of inflammation suggested from MRI and PET findings. Epilepsia. 44(8):1118-21, 2003
Bien CG et al: Diagnosis and staging of Rasmussen's encephalitis by serial MRI and histopathology. Neurology. 58(2):250-7, 2002
Kim SJ et al: A longitudinal MRI study in children with Rasmussen syndrome. Pediatr Neurol. 27(4):282-8, 2002
Fiorella DJ et al: (18)F-fluorodeoxyglucose positron emission tomography and MR imaging findings in Rasmussen encephalitis. AJNR Am J Neuroradiol. 22(7):1291-9, 2001
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