Presentation
Recurrent continuous intractable motor seizures (epilepsy partialis continua).
Patient Data
Age: 25 years
Gender: Male
From the case:
Rasmussen encephalitis
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Unilateral left sided cerebral atrophy is seen with multiple T2/FLAIR hyperintense areas in left basal ganglia and parieto-occipital region, and ex-vaccuo dilatation of left lateral ventricle (particularly trigone).
Case Discussion
In view of typical history of continuous partial motor seizures, and typical MR morphology-signal pattern, Rasmussen encephalitis is considered as primary diagnosis.
Differential diagnosis of similar brain morphology: