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From the Divisions of Pediatric Neurology (M.G.), Pediatric Neurological Surgery (S.R.), and Pediatric Rheumatology (N.G.S.) and Departments of Pathology (M.L.C.) and Radiology (B.A.B.), Division of Rainbow Babies and Children's Hospital, University Hospitals Case Medical Center, Case Western Reserve University, Cleveland, OH.
Address correspondence and reprint requests to Dr. M. Goyal, 11100 Euclid Ave., M/S 6090, Cleveland, OH 44106-6090 Monisha.Goyal{at}uhhospitals.org
Rasmussen syndrome (RS) is a clinical diagnosis characterized by persistent focal seizures in a previously healthy child. Occasionally, the typical features of RS may be followed by another diagnosis. We discuss the course of a 12-year-old girl who presented with RS but was later diagnosed with CNS granulomatous disease and NOD2/CARD15 mutations. Her response to infliximab suggests that it should be included in immune-modulatory therapies used to treat these refractory disorders.
Disclosure: Dr. N.G. Singer has consulted for Abbott Immunology and engaged in sponsored research for Amgen. The other authors report no conflicts of interest.
Received November 17, 2006. Accepted in final form March 13, 2007.
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