PET is the most sensitive investigation for picking up Rasmussen's encephalitis, picking up the hypometabolic area before MRI signal change has developed
7:15:00 PM
Dr Subhash Kumar, MBBS, MD, DM
A 27 years old man presented with seizures and left sided hemiparesis
The CT shows hypodensity in right temporo-parieto-occipital region
An MRI done a month later shows extensive nodular enhancing lesions with lot of edema. Significantly the enhancing area were T1 bright and T2 hypointense.
After starting antitubercular treatment the edema and the enhancement subsided.
But the patient continues to have seizures and weakness persists.
The 4 month follow up CT:
2:34:00 PM
Dr Subhash Kumar, MBBS, MD, DM
A 19 years old male, otherwise healthy presented with gradually increasing vision loss and weakness of both both lower limbs and normal routine laboratory investigations. His MRI revealed confluent bilateral (L>R) parieto-occipital signal change, tissue loss, inflammatory enhancing edge s/o ALD
