PMC8185133_01
Relevant data from this episode of care organized as a timeline.
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F1
An 18-year-old female high school student without a history of psychiatric disorder was admitted to our day-care clinic at the Central Institute of Mental Health (CIMH), Medical Faculty Mannheim, Heidelberg University (Figure 1).
Brain imaging at 3 Tesla MRI (T2 FLAIR weighted) on three different levels (A-C) shows no suspicious signal alterations, especially on both mesial temporal lobes (A) and insula (B).
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F2
The follow-up MRI at UMM did not reveal pathological findings (Figure 2).
Sixteen-channel EEG recording, low-pass filter 35 Hz: desynchronize alpha-rhythm (7-10 Hz) with a high amplitude (60-150 muV); generalized irregular spikes and sharp waves and occasional theta-rhythm activity.
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F3
In contrast to the previous regular EEG recordings, an intermittent epileptogenic activity was detected (generalized irregular spikes and sharp waves, additionally desynchronize alpha-rhythm (7-10 Hz) with a high amplitude (60-150 muV), occasionally theta-rhythm) (Figure 3).