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Chronic encephalitis and epilepsy(Rasmussen's encephalitis)is a rare progressive disorder of uncertain etiology that usually occurs in children,producing focal epilepsy,hemiparesis,and intellectual deterioration.We identified 13 patients in whom seizures developed in adolescence or adulthood with a pathologic picture of chronic encephalitis.The clinical characteristics were more variable than those occurring in children,with the patients falling into three groups;five patients developed seizures in adulthood,but otherwise showed many resemblances to the childhood form;five developed seizures in adolescence, with similar presentation but rather more benign course than in the younger patients;and three presented with clinical features initially suggestive of a tumor.Occipital onset to the seizures appeared to be more common than in the childhood form,and bilateral disease also occurred. |
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encephalitis encephalitis,focal encephalitis,Rasmussen's hemiparesis intellectual deterioration seizure seizure,focal
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