The prevalence and characteristics of epilepsy in patients with multiple sclerosis in Nordland county, Norway  Espen Benjaminsen, Kjell-Morten Myhr, Karl B. Alstadhaug  Seizure - European Journal of Epilepsy  Volume 52, Pages 131-135 (November 2017) DOI: 10.1016/j.seizure.2017.09.022 Copyright © 2017 British Epilepsy Association Terms and Conditions

Fig. 1 EEG recording and MRI sequence of patient with multiple sclerosis and epilepsy. A highly disabled 53 year-old woman, diagnosed with primary progressive multiple sclerosis three years earlier, was brought to the hospital due to three generalized seizures and prolonged confusion. Viral encephalitis was suspected, but investigations, including CSF-analyses, were negative. She recovered and was treated with oxcarbazepine. a. EEG recording on the day of admission showing spike discharges on the left in the fronto-temporal region. b. The coronal slice of a FLAIR MRI obtained the same day as the EEG showing multifocal areas of high signal intensity in the white matter, but there is also increased signal in the left insular cortex which is not typical for MS. Seizure - European Journal of Epilepsy 2017 52, 131-135DOI: (10.1016/j.seizure.2017.09.022) Copyright © 2017 British Epilepsy Association Terms and Conditions