“…4 According to the literature, LPDs can reflect NCSE if they are associated with focal hyperemia on CT perfusion or with hypermetabolism on positron emission tomography. [4][5][6] However, in our patient the EEG recording showed a periodic pattern of focal LPDs in right centro-temporal regions at a rate of 1-1.5 Hz, which-taken alone-is not indicative of continuous ictal activity, and does not necessarily reflect NCSE, but could represent postictal dysfunction of right hemispheric structures. Despite these limitations, the clinical, neurophysiological, and neuroimaging data pointed to symptoms arising from a right (non-dominant hemisphere) frontoparietal zone.…”