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Intraventricular Interferon‐α Stops Seizures in Rasmussen's Encephalitis: A Case Report
Author(s) -
Dabbagh Omar,
Gascon Generoso,
Crowell Janice,
Bamoggadam Fawzia
Publication year - 1997
Publication title -
epilepsia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.687
H-Index - 191
eISSN - 1528-1167
pISSN - 0013-9580
DOI - 10.1111/j.1528-1157.1997.tb01491.x
Subject(s) - epilepsia partialis continua , lamotrigine , carbamazepine , phenytoin , valproic acid , anesthesia , phenobarbital , medicine , encephalitis , epilepsy , pediatrics , methylprednisolone , lorazepam , status epilepticus , psychology , psychiatry , virus , virology
Summary: A 3.5‐year‐old girl had epilepsia partialis continua of the right side. Clinical and laboratory findings were consistent with Rasmussen's encephalitis. Treatment with high‐dose methylprednisolone led to temporary control of seizures, but for 2 years, the seizures remained refractory to phenobarbital, phenytoin, lorazepam, carbamazepine, valproic acid, vigaba‐trin, gabapentin, and lamotrigine. A 6‐week course, and later a 6‐month course, of intraventricular interferon‐α almost totally suppressed the seizures. Although moderately hemiparetic, the child has reasonable neurologic function with mild speech delay. She is receiving her third course of treatment, and seizures remain completely controlled.