Marta Drake-Pérez, Enrique Marco de Lucas, John Lyo, José L

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Neuroimaging features in subacute encephalopathy with seizures in alcoholics (SESA syndrome) Marta Drake-Pérez, Enrique Marco de Lucas, John Lyo, José L. Fernández-Torre Seizure - European Journal of Epilepsy Volume 40, Pages 102-107 (August 2016) DOI: 10.1016/j.seizure.2016.06.009 Copyright © 2016 British Epilepsy Association Terms and Conditions

Fig. 1 EEG shows periodic lateralized discharges (PLDs) (black arrows) involving the right temporal lobe. Low filter: 0.5Hz; high filter: 35Hz; Notch filter: 50Hz. Vertical bar: 100μV; horizontal bar: 1s. Seizure - European Journal of Epilepsy 2016 40, 102-107DOI: (10.1016/j.seizure.2016.06.009) Copyright © 2016 British Epilepsy Association Terms and Conditions

Fig. 2 Coronal FLAIR images from the 4 patients with SESA syndrome registered in our hospital showing the distribution of the signal alterations. A: right insula and medial temporal lobe hyperintensities. Temporal atrophy. Hydrocephalus. B: right insula and hippocampus hyperintensities. Diffuse atrophy. C: left frontoinsular region and cingulate cortex hyperintensities. D: right enlarged hippocampus and posteromedial thalamus hyperintensities. White matter chronic ischemic changes. Seizure - European Journal of Epilepsy 2016 40, 102-107DOI: (10.1016/j.seizure.2016.06.009) Copyright © 2016 British Epilepsy Association Terms and Conditions

Fig. 3 Illustrative case in the acute setting. Axial DWI images show restricted diffusion on right hippocampus (left), right parietal cortex, cingulate gyrus and posteromedial thalamus (right). Seizure - European Journal of Epilepsy 2016 40, 102-107DOI: (10.1016/j.seizure.2016.06.009) Copyright © 2016 British Epilepsy Association Terms and Conditions

Fig. 4 Illustrative case. Coronal T2-weighted images show a hyperintense and hypertrophic right hippocampus (left) in the acute setting. In the follow-up MRI performed 2 months later (right), the signal abnormalities are solved, and the right medial temporal lobe shows atrophic changes. Seizure - European Journal of Epilepsy 2016 40, 102-107DOI: (10.1016/j.seizure.2016.06.009) Copyright © 2016 British Epilepsy Association Terms and Conditions