Skip to main content
Top
Published in: The Egyptian Journal of Neurology, Psychiatry and Neurosurgery 1/2021

Open Access 01-12-2021 | Electroencephalography | Research

Rasmussen syndrome in a tropical environment: a study of six (6) observations

Authors: Carlos Othon Guelngar, Touré Mohamed Lamine, Barry Mamadou Ciré, Diakité Mamady, Konaté Mahadi, Djibo Hamani Bachir Abdoul, Sakadi Foksouna, Djibo Hassane Fatimata, Camara Naby, Kassa Dago François, Bah Fatimatou Korka, Camara Doussou, Millimono Victorine, Condé Salematou, Sakho Aminata, Diallo Mohamed Tafsir, Barry Souleymane Djigué, Diallo Mamadou Saliou, Soumah Fodé Mohamed, Sanni Yaya Aminou, Douna Granga Daouya, Rafkat Said Abdallah, Konaté Mamady, Diallo Souleymane Mbara, Cissé Fodé Abass, Cissé Amara

Published in: The Egyptian Journal of Neurology, Psychiatry and Neurosurgery | Issue 1/2021

Login to get access

Abstract

Background

In sub-Saharan Africa, encephalitis of various etiologies is a major public health problem and Rasmussen syndrome is rarely diagnosed due to under-medicalization. The objective of this study is to describe the clinical and neuroradiological forms, especially since this affection is little known in sub-Saharan Africa as evidenced by the scarcity of publications.

Results

A retrospective, descriptive and analytical study of six (6) cases of Rasmussen syndrome, shows that it is an unrecognized disease in Africa. Men were more represented with a frequency of 67% with a young age. The clinical picture dominated by 100% seizures, mental deterioration and hemiparesis. The etiology is still questionable, probably autoimmune in our study.

Conclusion

Rasmussen syndrome accounts for 3% in 219 patients hospitalized for epileptic conditions. This study shows a clinical profile dominated by recurrent epileptic seizures refractory to the drugs Phenobarbital, Valproic Acid and Carbamazepine, the only antiepileptics available in the country. These results are valid for therapeutic and prognostic discussion.
Literature
2.
go back to reference Caraballo R, Tenembaum S, Cersósimo R, Pomata H, Medina C, Soprano AM, et al. Syndrome de Rasmussen [Rasmussen syndrome]. Rev Neurol. 1998;26(154):978–83 (PMID: 9658472).PubMed Caraballo R, Tenembaum S, Cersósimo R, Pomata H, Medina C, Soprano AM, et al. Syndrome de Rasmussen [Rasmussen syndrome]. Rev Neurol. 1998;26(154):978–83 (PMID: 9658472).PubMed
4.
go back to reference Oguni H, Andermann F, Rasmussen TB. The syndrome of chronic encephalitis and epilepsy. A study based on the MNI series of 48 cases. Adv Neurol. 1992;57:419–33 (PMID: 1543071).PubMed Oguni H, Andermann F, Rasmussen TB. The syndrome of chronic encephalitis and epilepsy. A study based on the MNI series of 48 cases. Adv Neurol. 1992;57:419–33 (PMID: 1543071).PubMed
9.
go back to reference Jaillon-Riviere V, Dupont S, Bertran F, De La Sayette V, Beuvon F, Baulac M, et al. Le syndrome de Rasmussen à début tardif: caractéristiques cliniques et thérapeutiques [Late onset Rasmussen’s syndrome: clinical and therapeutic characteristics]. Rev Neurol (Paris). 2007;163(5):573–80. https://doi.org/10.1016/s0035-3787(07)90463-4 (PMID: 17571025).CrossRefPubMed Jaillon-Riviere V, Dupont S, Bertran F, De La Sayette V, Beuvon F, Baulac M, et al. Le syndrome de Rasmussen à début tardif: caractéristiques cliniques et thérapeutiques [Late onset Rasmussen’s syndrome: clinical and therapeutic characteristics]. Rev Neurol (Paris). 2007;163(5):573–80. https://​doi.​org/​10.​1016/​s0035-3787(07)90463-4 (PMID: 17571025).CrossRefPubMed
12.
go back to reference Williams JA, Cisse FA, Schaekermann M, Sakadi F, Tassiou NR, Hotan GC, et al. Guinea Epilepsy Project. Smartphone EEG and remote online interpretation for children with epilepsy in the Republic of Guinea: Quality, characteristics, and practice implications. Seizure. 2019;71:93–99. doi: https://doi.org/10.1016/j.seizure.2019.05.025. Williams JA, Cisse FA, Schaekermann M, Sakadi F, Tassiou NR, Hotan GC, et al. Guinea Epilepsy Project. Smartphone EEG and remote online interpretation for children with epilepsy in the Republic of Guinea: Quality, characteristics, and practice implications. Seizure. 2019;71:93–99. doi: https://​doi.​org/​10.​1016/​j.​seizure.​2019.​05.​025.
16.
go back to reference Diallo TM, Cisse A, Morel Y, Cisse AF, Souare IS. Premières crises epileptiques tardives. Etude de 42 cas [Late occurrence of first epileptic seizures: a 42-case series]. Med Trop (Mars). 2004;64(2):155–9. PMID: 15460144. Diallo TM, Cisse A, Morel Y, Cisse AF, Souare IS. Premières crises epileptiques tardives. Etude de 42 cas [Late occurrence of first epileptic seizures: a 42-case series]. Med Trop (Mars). 2004;64(2):155–9. PMID: 15460144.
26.
go back to reference Lamb K, Scott WJ, Mensah A, et al. Prevalence and clinical outcome of Rasmussen encephalitis in children from the United Kingdom. Dev Med Child Neurol. 2013;55(suppl 1):14. Lamb K, Scott WJ, Mensah A, et al. Prevalence and clinical outcome of Rasmussen encephalitis in children from the United Kingdom. Dev Med Child Neurol. 2013;55(suppl 1):14.
27.
go back to reference HART Y, ANDERMANN F. (2002). Le syndrome de Rasmussen. In:Roger J, Bureau M, Dravet C (eds). Les syndromes epileptiques de l’enfant et de l’adolescent. 3 ed., pp. 495–512, John Libbey.Eastleigh (UK). HART Y, ANDERMANN F. (2002). Le syndrome de Rasmussen. In:Roger J, Bureau M, Dravet C (eds). Les syndromes epileptiques de l’enfant et de l’adolescent. 3 ed., pp. 495–512, John Libbey.Eastleigh (UK).
29.
go back to reference Antoun H, Adamsbaum C. Quel est votre diagnostic. J Neuroradiol. 2000;28:241–3. Antoun H, Adamsbaum C. Quel est votre diagnostic. J Neuroradiol. 2000;28:241–3.
30.
go back to reference Boukobza M, Enjolras O, Cambra M, Merland J. Syndrome de Sturge-Weber. Données actuelles de l'imagerie neuroradiologique [Sturge-Weber syndrome. The current neuroradiologic data]. J Radiol. 2000;81(7):765–71. PMID: 10915989. Boukobza M, Enjolras O, Cambra M, Merland J. Syndrome de Sturge-Weber. Données actuelles de l'imagerie neuroradiologique [Sturge-Weber syndrome. The current neuroradiologic data]. J Radiol. 2000;81(7):765–71. PMID: 10915989.
37.
go back to reference Nand N, Venu S, Yadav M, Deshmukh AR, Mittal R. Dyke-Davidoff-Masson syndrome. J Assoc Phys India. 2016;64(4):71 (PMID: 27734645). Nand N, Venu S, Yadav M, Deshmukh AR, Mittal R. Dyke-Davidoff-Masson syndrome. J Assoc Phys India. 2016;64(4):71 (PMID: 27734645).
Metadata
Title
Rasmussen syndrome in a tropical environment: a study of six (6) observations
Authors
Carlos Othon Guelngar
Touré Mohamed Lamine
Barry Mamadou Ciré
Diakité Mamady
Konaté Mahadi
Djibo Hamani Bachir Abdoul
Sakadi Foksouna
Djibo Hassane Fatimata
Camara Naby
Kassa Dago François
Bah Fatimatou Korka
Camara Doussou
Millimono Victorine
Condé Salematou
Sakho Aminata
Diallo Mohamed Tafsir
Barry Souleymane Djigué
Diallo Mamadou Saliou
Soumah Fodé Mohamed
Sanni Yaya Aminou
Douna Granga Daouya
Rafkat Said Abdallah
Konaté Mamady
Diallo Souleymane Mbara
Cissé Fodé Abass
Cissé Amara
Publication date
01-12-2021
Publisher
Springer Berlin Heidelberg
DOI
https://doi.org/10.1186/s41983-021-00409-x

Other articles of this Issue 1/2021

The Egyptian Journal of Neurology, Psychiatry and Neurosurgery 1/2021 Go to the issue