case_images: PMC7330651_01
case_images: Brain MRI showing T2 flair hyperintensity in the medial temporal lobes with left lobe (pink arrows) revealing greater hyperintensity than right lobe.
case_images: CRINM2020-5843089.001.jpg
case_images: PMC7330651_01_CRINM2020-5843089.001.jpg
case_images: fig1
case_images: A brain MRI revealed bilateral (left more than right) temporal lobe fluid-attenuated inversion recovery (FLAIR) hyperintensity (Figure 1).
case_images: EEG showing electroclinical seizures exhibiting delta brushes.
case_images: CRINM2020-5843089.002.jpg
case_images: PMC7330651_01_CRINM2020-5843089.002.jpg
case_images: fig2
case_images: An electroencephalogram (EEG) revealed status epilepticus characterized by onset of discharges from the left frontocentral and left fronto-temporal region, accompanied by delta brushes (Figure 2).
case_images: PMC7330651_02
case_images: Brain MRI revealing symmetric signal abnormality, swelling of the hippocampus and right mesial temporal lobe, and a T2 FLAIR signal abnormality.
case_images: CRINM2020-5843089.003.jpg
case_images: PMC7330651_02_CRINM2020-5843089.003.jpg
case_images: fig3
case_images: Repeat brain MRI revealed FLAIR hyperintensity in the bilateral hippocampi, right mesial temporal lobe, and mild diffusion restriction in the right insular cortex without contrast enhancement or hemorrhage (Figure 3).
case_images: EEG showing background slowing and generalized slowing compatible with diffuse cortical dysfunction. EEG Also showing temporal lobe discharges.
case_images: CRINM2020-5843089.004.jpg
case_images: PMC7330651_02_CRINM2020-5843089.004.jpg
case_images: fig4
case_images: On re-review of the first EEG, it was found to have left temporal discharges likely responsible for the seizures (Figure 4).
case_images: PMC7330651_03
case_images: Normal brain MRI.
case_images: CRINM2020-5843089.005.jpg
case_images: PMC7330651_03_CRINM2020-5843089.005.jpg
case_images: fig5
case_images: Initial MRI was unremarkable (Figure 5), and the CSF revealed 18 WBC (91% lymphocytes).
case_images: EEG showing left fronto-temporal sharp waves with intermittent slowing.
case_images: CRINM2020-5843089.006.jpg
case_images: PMC7330651_03_CRINM2020-5843089.006.jpg
case_images: fig6
case_images: His EEG showed left fronto-temporal sharp waves with intermittent slowing (Figure 6).