PMC4862346_01
(A) First EEG pattern of the patient: atypical delta wave complexes on our patient's EEG. Left postero-temporal focal lesion with polymorph delta waves (1 - shaded). (B) Second EEG pattern of the patient: alpha-basic rhythm with 8-9 cycles per second and with diffuse irritative changes, unmodified during eye opening, with asymmetric slow sharp wave discharges in the C-T region bilaterally (1 and 2 - shaded). (C) Normal EEG pattern for comparison: a basic activity with subalpha-theta waves, without pathological changes and asymmetry. (A and B) Registrations with time constant 0.10 s, high frequency filter 30.0 Hz, notch filter: yes, sensitivity: 5.0 microV/mm. (C) Registration with time constant 0.10 s, high pass filter 5.30 Hz, low pass filter 20.0 Hz, notch filter: yes.. Abbreviation: EEG, electroencephalogram.
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Neurological examination did not disclose any focal signs but electroencephalogram findings raised the suspicion of encephalitis (Figure 1A-C).
Timeline graph of the main events in our patient's disease course.. Abbreviations: ICU, intensive care unit; Ig, immunoglobulin; CSF, cerebrospinal fluid; CT, computed tomography; PCR, polychromase chain reaction; CBC, complete blood count; WB, Western blot test.
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The most important events of the disease progression are shown in the timeline (Figure 2).