JLE

Epileptic Disorders

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Symptomatic epilepsy with facial myoclonus triggered by language Volume 3, issue 3, September 2001


   
  

figure 1. A. Patient at rest, silence in the room. B. Patient reading silently. C. Patient reading out loud. D. Patient listening to spoken language. E. Patient speaking.




   
   figure 2. Axial MR images: T1W (a), PDW (b), T2W (c). Focal encephalomalacia is seen in the left frontal pole characterized by a pseudo-cystic lesion, that protrudes anteriorly through a break in the frontal bone, with peripheral gliosis. The pseudocystic lesion matches the CSF signal intensity in all pulse sequences; gliosis is hyperintense on PDW images (b) with respect to encephalomalacic changes. Cortical atrophy extends over the convexity, involving the pre and post-central area.



   
   figure 3. Coronal T1W MR image: section acquired immediately posterior to encephalomalacic changes shown in figure 2. Atrophy of the left frontal lobe affects the convexity and the operculum. Enlargement of the frontal horn of the lateral ventricle is also recognizable.