A 50 years old gentleman presented with history of seizure s | Figure 1

ray007

Anesthesiology Resident

A 50 years old gentleman presented with history of seizure since 20 years on carbamazapin for same and well controlled..

Presented with complaints on recent onset visual disturbance for around 2 months for which visited to ophthalmologist and after evaluation advised for mri brain..

After looking at mri urgently referred to neurological services

No history of headache, nausea, vomiting or any other neurological deficit at presentation..

DIAGNOSIS AND MANAGEMENT PLAN??

Similar cases

Axial FLAIR (image 1) and sagittal T1 FLAIR MRI images show a hypothalamic hamartoma (arrow). Patients with these lesions classically present with gelastic or laughing seizures.

Sagittal (image 1) and axial (image 2) T1-weighted and coronal T1-weighted postcontrast (image 3) MRI show a hypothalamic hamartoma (arrow).

A four-year-old girl is referred to a pediatric neurologist with new-onset generalized tonic-clonic seizures.

MRI brain scan. Diagnosis? Thoughts?](https://app.figure1.com/case-detail/6824c18b-368b-41e0-a7bd-bd83c34930b3)