Hotter than a cup of coffee! Note: DWI imaging increased signal in thalamus, insula and cortex. Note profound hippocampal involvement on axial FLAIR and DWI images. On FLAIR images there is significant hippocampal and temporal lobe involvement. No cells on LP. EEG shows ongoing right temporal seizures. We think she was having three seizures without loss of consciousness or convulsions every 20 minutes for a week before this scan
DWI with temporal lobe involvement
DWI with insula and thalamic involvement