An open study of tacrolimus therapy in Rasmussen encephalitis

Neurology. 2004 Jun 8;62(11):2106-9. doi: 10.1212/01.wnl.0000128044.94294.87.

Abstract

Seven patients with Rasmussen encephalitis (RE) were treated with the immunosuppressant tacrolimus and followed for a median of 22.4 months. They were compared with 12 historical untreated RE patients (median follow-up 13.9 months). The tacrolimus-treated patients had a superior outcome regarding neurologic function and progression rate of cerebral hemiatrophy but no better seizure outcome. No treated patient, but 7 of 12 control patients, became eligible for hemispherectomy. Tacrolimus did not have any major side effects.

Publication types

  • Clinical Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Anticonvulsants / therapeutic use
  • Atrophy
  • Brain / pathology
  • Cerebral Cortex / pathology
  • Child
  • Child, Preschool
  • Drug Therapy, Combination
  • Encephalitis / complications
  • Encephalitis / drug therapy*
  • Encephalitis / pathology
  • Female
  • Follow-Up Studies
  • Humans
  • Immunosuppressive Agents / therapeutic use*
  • Male
  • Neuropsychological Tests
  • Paresis / etiology
  • Tacrolimus / therapeutic use*
  • Treatment Outcome

Substances

  • Anticonvulsants
  • Immunosuppressive Agents
  • Tacrolimus