PMC6216106_01
(A) Brain MRI. Encephalomalacia and gliotic changes involving the left frontal lobe (Red arrow). Mild increased FLAIR signal involving the left hippocampus without evidence of tissue loss (Blue arrow).. (B) PETCT. Increased metabolic activity within the inferior left frontal lobe (Blue arrows) corresponding to the area of encephalomalacia seen on MRI.
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Magnetic resonance imaging (MRI) and Positron emission tomography (PET) are demonstrated in Fig. 1.
Interictal EEG: interictal sharp waves in the left frontal and left temporal regions.
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Interictal epileptiform activity consisted of lateralized periodic discharges (LPDs) maximal either at F3 or at C3 (Fig. 2).
(A) Ictal EEG onset with rhythmic discharges in the left hemisphere, maximum at F3.. (B) At the beginning of ictal water drinking, there is rhythmic activity over the left hemisphere.
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Seizure's examples are shown in Fig. 3.