Rasmussen's encephalitis: the relevance of neuropsychological assessment in patient's treatment and follow up

Detalhes bibliográficos
Autor(a) principal: Guimarães,Catarina Abraão
Data de Publicação: 2002
Outros Autores: Souza,Elisabete A.P., Montenegro,Maria Augusta, Marques Jr.,José Francisco C., Cendes,Fernando, Guerreiro,Marilisa M.
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Arquivos de neuro-psiquiatria (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2002000300007
Resumo: Rasmussen's encephalitis is characterized by refractory epilepsy, neurological deterioration and progressive atrophy of one cerebral hemisphere. The objective of this study is to describe the importance of neuropsychological evaluation in the treatment decision and follow-up of patients with Rasmussen´s encephalitis. Neuropsychological assessment was performed in two steps. Firstly, the clinical history was obtained and the Vineland adaptative behavior scale (VABS) was applied. After this first step, the patients with social maturity level equal or higher than the inferior limit underwent a battery of neuropsychological assessment. We evaluated three patients before any specific treatment was started, and six months after the intervention (surgery or plasmapheresis). Patient 1 underwent left hemispherectomy and had global improvement on second neuropsychological assessment. This suggests that the decision of performing surgery was adequate. Patients 2 and 3 underwent plasmapheresis. They did not present cognitive decline between both evaluations which suggest that our decision of postponing surgery was adequate as well. We conclude that neuropsychological assessment is important when evaluating patients with Rasmussen´s encephalitis. That is especially true for patients in whom disease progression is slow, and surgery timing has to be carefully planned.
id ABNEURO-1_3debc58174610f6a11fe6eb836a6fa74
oai_identifier_str oai:scielo:S0004-282X2002000300007
network_acronym_str ABNEURO-1
network_name_str Arquivos de neuro-psiquiatria (Online)
repository_id_str
spelling Rasmussen's encephalitis: the relevance of neuropsychological assessment in patient's treatment and follow upRasmussen's encephalitisneuropsychological assessmentepilepsychildhoodRasmussen's encephalitis is characterized by refractory epilepsy, neurological deterioration and progressive atrophy of one cerebral hemisphere. The objective of this study is to describe the importance of neuropsychological evaluation in the treatment decision and follow-up of patients with Rasmussen´s encephalitis. Neuropsychological assessment was performed in two steps. Firstly, the clinical history was obtained and the Vineland adaptative behavior scale (VABS) was applied. After this first step, the patients with social maturity level equal or higher than the inferior limit underwent a battery of neuropsychological assessment. We evaluated three patients before any specific treatment was started, and six months after the intervention (surgery or plasmapheresis). Patient 1 underwent left hemispherectomy and had global improvement on second neuropsychological assessment. This suggests that the decision of performing surgery was adequate. Patients 2 and 3 underwent plasmapheresis. They did not present cognitive decline between both evaluations which suggest that our decision of postponing surgery was adequate as well. We conclude that neuropsychological assessment is important when evaluating patients with Rasmussen´s encephalitis. That is especially true for patients in whom disease progression is slow, and surgery timing has to be carefully planned.Academia Brasileira de Neurologia - ABNEURO2002-06-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2002000300007Arquivos de Neuro-Psiquiatria v.60 n.2B 2002reponame:Arquivos de neuro-psiquiatria (Online)instname:Academia Brasileira de Neurologiainstacron:ABNEURO10.1590/S0004-282X2002000300007info:eu-repo/semantics/openAccessGuimarães,Catarina AbraãoSouza,Elisabete A.P.Montenegro,Maria AugustaMarques Jr.,José Francisco C.Cendes,FernandoGuerreiro,Marilisa M.eng2002-07-11T00:00:00Zoai:scielo:S0004-282X2002000300007Revistahttp://www.scielo.br/anphttps://old.scielo.br/oai/scielo-oai.php||revista.arquivos@abneuro.org1678-42270004-282Xopendoar:2002-07-11T00:00Arquivos de neuro-psiquiatria (Online) - Academia Brasileira de Neurologiafalse
dc.title.none.fl_str_mv Rasmussen's encephalitis: the relevance of neuropsychological assessment in patient's treatment and follow up
title Rasmussen's encephalitis: the relevance of neuropsychological assessment in patient's treatment and follow up
spellingShingle Rasmussen's encephalitis: the relevance of neuropsychological assessment in patient's treatment and follow up
Guimarães,Catarina Abraão
Rasmussen's encephalitis
neuropsychological assessment
epilepsy
childhood
title_short Rasmussen's encephalitis: the relevance of neuropsychological assessment in patient's treatment and follow up
title_full Rasmussen's encephalitis: the relevance of neuropsychological assessment in patient's treatment and follow up
title_fullStr Rasmussen's encephalitis: the relevance of neuropsychological assessment in patient's treatment and follow up
title_full_unstemmed Rasmussen's encephalitis: the relevance of neuropsychological assessment in patient's treatment and follow up
title_sort Rasmussen's encephalitis: the relevance of neuropsychological assessment in patient's treatment and follow up
author Guimarães,Catarina Abraão
author_facet Guimarães,Catarina Abraão
Souza,Elisabete A.P.
Montenegro,Maria Augusta
Marques Jr.,José Francisco C.
Cendes,Fernando
Guerreiro,Marilisa M.
author_role author
author2 Souza,Elisabete A.P.
Montenegro,Maria Augusta
Marques Jr.,José Francisco C.
Cendes,Fernando
Guerreiro,Marilisa M.
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Guimarães,Catarina Abraão
Souza,Elisabete A.P.
Montenegro,Maria Augusta
Marques Jr.,José Francisco C.
Cendes,Fernando
Guerreiro,Marilisa M.
dc.subject.por.fl_str_mv Rasmussen's encephalitis
neuropsychological assessment
epilepsy
childhood
topic Rasmussen's encephalitis
neuropsychological assessment
epilepsy
childhood
description Rasmussen's encephalitis is characterized by refractory epilepsy, neurological deterioration and progressive atrophy of one cerebral hemisphere. The objective of this study is to describe the importance of neuropsychological evaluation in the treatment decision and follow-up of patients with Rasmussen´s encephalitis. Neuropsychological assessment was performed in two steps. Firstly, the clinical history was obtained and the Vineland adaptative behavior scale (VABS) was applied. After this first step, the patients with social maturity level equal or higher than the inferior limit underwent a battery of neuropsychological assessment. We evaluated three patients before any specific treatment was started, and six months after the intervention (surgery or plasmapheresis). Patient 1 underwent left hemispherectomy and had global improvement on second neuropsychological assessment. This suggests that the decision of performing surgery was adequate. Patients 2 and 3 underwent plasmapheresis. They did not present cognitive decline between both evaluations which suggest that our decision of postponing surgery was adequate as well. We conclude that neuropsychological assessment is important when evaluating patients with Rasmussen´s encephalitis. That is especially true for patients in whom disease progression is slow, and surgery timing has to be carefully planned.
publishDate 2002
dc.date.none.fl_str_mv 2002-06-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2002000300007
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2002000300007
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1590/S0004-282X2002000300007
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Academia Brasileira de Neurologia - ABNEURO
publisher.none.fl_str_mv Academia Brasileira de Neurologia - ABNEURO
dc.source.none.fl_str_mv Arquivos de Neuro-Psiquiatria v.60 n.2B 2002
reponame:Arquivos de neuro-psiquiatria (Online)
instname:Academia Brasileira de Neurologia
instacron:ABNEURO
instname_str Academia Brasileira de Neurologia
instacron_str ABNEURO
institution ABNEURO
reponame_str Arquivos de neuro-psiquiatria (Online)
collection Arquivos de neuro-psiquiatria (Online)
repository.name.fl_str_mv Arquivos de neuro-psiquiatria (Online) - Academia Brasileira de Neurologia
repository.mail.fl_str_mv ||revista.arquivos@abneuro.org
_version_ 1754212754356436992