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Hassan Douis, MD, MRCP; Mariam Jafri, MBChB, MRCP; Khaled Sherlala, MD, MRCP, FRCR

Arch Neurol. 2008;65(12):1666-1667.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

A 56-year-old woman was admitted to the hospital with new onset of tonic-clonic seizures. She had no significant medical or drug history. Results of the physical examination were normal, with no neurocognitive impairment. Her white blood cell count was 12 200/µL (to convert to x 10⁹/L, multiply by 0.001), and her neutrophil count was 10 200/µL (to convert to x 10⁹/L, multiply by 0.001). Magnetic resonance (MR) imaging demonstrated homogeneous asymmetrical swelling and enlargement of both thalami with distortion of both lateral ventricles. The thalamic lesions were isointense on T1-weighted images (Figure 1A) and hyperintense on T2-weighted images (Figure 1B) and fluid attenuation inversion recovery images (Figure 1C), with no enhancement after contrast administration. Magnetic resonance spectroscopy of the tumor revealed increased myo-inositol levels, diminished N-acetyl aspartate levels, and . . . [Full Text of this Article]

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