PMC5341269_01
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
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F1
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.
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
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F2
His ictal EEG [Figures 2-5] showed onset of ictal rhythm in left temporal region which then spread to the left hemisphere.
Electroencephalography trace showing built up of rhythm in left temporal region with progressive slowing of heart rate followed by asystole (16 s)
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F3
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.
Electroencephalography trace showing progression of the ictal rhythm and asystole with return of cardiac activity towards the end of trace
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PMC5341269_01_AIAN-20-55-g004.jpg
F4
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.
Electroencephalography trace showing further built up of ictal rhythm which is now left hemispheric along with return of normal cardiac rhythm
AIAN-20-55-g005.jpg
PMC5341269_01_AIAN-20-55-g005.jpg
F5
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.