PMC9579373_01
MRI (3.0T) at the time of presentation. Axial T2 Weighted Image (A), Axial Fluid attenuated inversion recovery (FLAIR) sequence (B) and coronal FLAIR (C) show cortical thickening and hyper intense signal in the medial aspect of bilateral temporal lobes Right > Left.
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F1
Magnetic resonance imaging of the brain showed abnormal signals in both medial temporal lobes, predominantly on the right side (Figure 1).
Results of cerebrospinal fluid using tissue-based assays (TBA). Hippocampus (A), striatum (B), cerebral cortex (C), and cerebellum (D).
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F2
CSF infection. Cell-based and tissue-based assays revealed that the CSF was positive for GAD65 antibody (titer, 1:100++), mainly distributed in the hippocampus, striatum, cerebral cortex, and cerebellum (Figure 2).