PMC4636174_01
Magnetic resonance imaging of the patient's brain.. Notes: (A) A T2-weighted image showing hyperintensity lesions (arrows) in the temporal lobes and left occipital lobe. (B) Multiple hyperintensities (arrows) in the temporal and parietal lobes and demyelination in the white matter surrounding the lateral ventricles revealed by the fluid-attenuated inversion recovery sequences. (C) A susceptibility-weighted image showing a low signal (arrow) in the right frontal lobe.
ndt-11-2833Fig1.jpg
PMC4636174_01_ndt-11-2833Fig1.jpg
f1-ndt-11-2833
October 14, he became suspicious, had delusion of persecution, and ran around. On the same day, he was sent to the local hospital where a magnetic resonance imaging was performed showing multiple hyperintensities in the left occipital lobe and temporal lobes in the T2-weighted images (Figure 1A). In addition, multiple hyperintensity lesions were seen in the temporal and parietal lobes and demyelination lesions in the white matter surrounding the lateral ventricles in the fluid-attenuated inversion recovery images (Figure 1B). On October 19, a susceptibility-weighted imaging was performed, which more clearly showed the stale hemorrhages in the frontal lobe of the right hemisphere (Figure 1C), in addition to those seen in the left occipital lobe and temporal lobes of both sides.
The electroencephalogram of the patient showing slow-waves characterized by strong peaks of delta (delta) and theta (theta) frequencies in the right frontal lobe.. Note: The arrows point to slow-waves from the Fp2-C4 and Fp2-L4.
ndt-11-2833Fig2.jpg
PMC4636174_01_ndt-11-2833Fig2.jpg
f2-ndt-11-2833
On the same day, an electroencephalogram was performed showing slow waves characterized by strong peaks of delta and theta frequencies in the frontal lobe of the right hemisphere (Figure 2).