Figure 4.
Lesions on basal ganglia and their signal change over time. Case 1 was a 66-year-old male patient with left faciobrachial dystonic seizure (FBDS). A lesion was observed on the right basal ganglia (BG) with T1 hyperintensity and diffusion-weighted imaging (DWI) hypointensity, accompanied by ring-shaped enhancement (A). Case 2 was a 57-year-old male patient with epileptic seizure. Brain MRI showed prominent right caudate nucleus atrophy and DWI hypointensity 9 months after onset (B). Case 3 was a 61-year-old male patient presenting with left FBDS. Hyperintensity on T1, T2, fluid-attenuated inversion recovery (FLAIR), and DWI were initially observed on right BG (C1). Hypointensity on DWI began to appear 2 months after onset (C2) and became more prominent accompanied by atrophy 3 months later (C3). High signals were replaced by hypointensity 30 months after onset (C4).
