PMC6304652_01
MRI brain demonstrating bilateral mesial temporal lobe hyperintensities (red arrows), right greater than left, without volume loss: (left panel) T2-weighted Coronal section; (right panel) T2-weighted with FLAIR axial section.
CRIPS2018-3835819.001.jpg
PMC6304652_01_CRIPS2018-3835819.001.jpg
fig1
T2-hyperintensities (R>L) in the parahippocampal gyri without volume loss in the temporal mesial structures (see Figure 1). To target his mood symptoms and seizure activity, he was initially started on valproic acid and titrated to a therapeutic dose over the course of one week; however, his seizure activity was refractory and increased in frequency with worsening of mental status and memory deficits.