case_images: PMC5341269_01
case_images: T2-weighted images coronal magnetic resonance imaging showing left mesial temporal sclerosis and after left anterior temporal lobectomy showing complete resection of anterior temporal lobe
case_images: AIAN-20-55-g001.jpg
case_images: PMC5341269_01_AIAN-20-55-g001.jpg
case_images: F1
case_images: His magnetic resonance imaging (MRI) [Figure 1] showed atrophy of the left hippocampus with T2 hyperintensity within and associated widening of the adjacent temporal horn suggestive of MTS.
case_images: Electroencephalography trace showing the onset of the ictal rhythm in left temporal lobe with slowing of the heart rate towards the end of the trace
case_images: AIAN-20-55-g002.jpg
case_images: PMC5341269_01_AIAN-20-55-g002.jpg
case_images: F2
case_images: His ictal EEG [Figures 2-5] showed onset of ictal rhythm in left temporal region which then spread to the left hemisphere.
case_images: Electroencephalography trace showing built up of rhythm in left temporal region with progressive slowing of heart rate followed by asystole (16 s)
case_images: AIAN-20-55-g003.jpg
case_images: PMC5341269_01_AIAN-20-55-g003.jpg
case_images: F3
case_images: His ictal EEG [Figures 2-5] showed onset of ictal rhythm in left temporal region which then spread to the left hemisphere. Concurrent electrocardiogram (ECG) recording showed bradycardia [Figure 3] for 3-4 s along with EEG onset followed by asystole [Figures 4 and 5] lasting for 15 s, following which there was bradycardia for 5 s followed by normalization of the cardiac rhythm.
case_images: Electroencephalography trace showing progression of the ictal rhythm and asystole with return of cardiac activity towards the end of trace
case_images: AIAN-20-55-g004.jpg
case_images: PMC5341269_01_AIAN-20-55-g004.jpg
case_images: F4
case_images: His ictal EEG [Figures 2-5] showed onset of ictal rhythm in left temporal region which then spread to the left hemisphere. Concurrent electrocardiogram (ECG) recording showed bradycardia [Figure 3] for 3-4 s along with EEG onset followed by asystole [Figures 4 and 5] lasting for 15 s, following which there was bradycardia for 5 s followed by normalization of the cardiac rhythm.
case_images: Electroencephalography trace showing further built up of ictal rhythm which is now left hemispheric along with return of normal cardiac rhythm
case_images: AIAN-20-55-g005.jpg
case_images: PMC5341269_01_AIAN-20-55-g005.jpg
case_images: F5
case_images: His ictal EEG [Figures 2-5] showed onset of ictal rhythm in left temporal region which then spread to the left hemisphere. Concurrent electrocardiogram (ECG) recording showed bradycardia [Figure 3] for 3-4 s along with EEG onset followed by asystole [Figures 4 and 5] lasting for 15 s, following which there was bradycardia for 5 s followed by normalization of the cardiac rhythm.