fig 1.

Images of a 60-year-old man (patient 5) with complex partial status epilepticus with secondary generalization as the initial presentation of seizure.

A, Ictal T2-weighted image (left) shows increased signal intensity with swelling at the subcortical white matter of the right parahippocampal gyrus, uncus, and occipital cortex (arrows). FLAIR image (right) shows the increased signal intensity at the parahippocampal gyrus (arrow) more conspicuously and the atrophy with increased T2 signal intensity of the body of the right hippocampus, indicating ipsilateral mesial temporal sclerosis.

B, Diffusion-weighted image shows increased signal intensity at exactly the same areas (arrows).

C, ADC map shows a 28% decrease of the mean ADC at the right parahippocampal gyrus and a 27% decrease at the uncus (arrows).

D, Follow-up FLAIR image obtained 4 months later shows the resolution of the signal change and swelling at the right parahippocampal gyrus (arrow) and right mesial temporal sclerosis without remarkable interval change of volume and signal intensity.