PMC7330651_01
Brain MRI showing T2 flair hyperintensity in the medial temporal lobes with left lobe (pink arrows) revealing greater hyperintensity than right lobe.
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fig1
A brain MRI revealed bilateral (left more than right) temporal lobe fluid-attenuated inversion recovery (FLAIR) hyperintensity (Figure 1).
EEG showing electroclinical seizures exhibiting delta brushes.
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fig2
An electroencephalogram (EEG) revealed status epilepticus characterized by onset of discharges from the left frontocentral and left fronto-temporal region, accompanied by delta brushes (Figure 2).
PMC7330651_02
Brain MRI revealing symmetric signal abnormality, swelling of the hippocampus and right mesial temporal lobe, and a T2 FLAIR signal abnormality.
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fig3
Repeat brain MRI revealed FLAIR hyperintensity in the bilateral hippocampi, right mesial temporal lobe, and mild diffusion restriction in the right insular cortex without contrast enhancement or hemorrhage (Figure 3).
EEG showing background slowing and generalized slowing compatible with diffuse cortical dysfunction. EEG Also showing temporal lobe discharges.
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fig4
On re-review of the first EEG, it was found to have left temporal discharges likely responsible for the seizures (Figure 4).
PMC7330651_03
Normal brain MRI.
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fig5
Initial MRI was unremarkable (Figure 5), and the CSF revealed 18 WBC (91% lymphocytes).
EEG showing left fronto-temporal sharp waves with intermittent slowing.
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fig6
His EEG showed left fronto-temporal sharp waves with intermittent slowing (Figure 6).