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. 2013 Sep 19;73(6):1007–1017. doi: 10.1227/NEU.0000000000000144

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Copyright © 2013 by the Congress of Neurological Surgeons

This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivitives 3.0 License, where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially.

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Magnetic resonance imaging (MRI) showing architectural distortion in the left subinsular region that corresponded to an abnormality on the ictal and interictal single-photon emission computed tomography (SPECT) study and was treated with focused laser interstitial thermal therapy. A, preoperative coronal fluid-attenuated inversion recovery MRI and T2-weighted MRI showing a 2.5 × 2.1-cm left subinsular lesion. B, preoperative ictal SPECT study showing increased activity in left insula and temporal lobe. T1-weighted MRI with gadolinium and T2-weighted MRI on postoperative day 1 (C) and 5 months postoperatively (D).