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Paper Information

Journal:   ARCHIVES OF IRANIAN MEDICINE   February 2019 , Volume 22 , Number 2; Page(s) 102 To 103.

What is your diagnosis? See the next page for your diagnosis (Photoclinic)

Author(s):  SAFAVI MOEINADIN*, Dabiri Shariar
* Pathology Department, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran/ Pathology and Stem Research Center, Pathology Department, Afzalipour Medical School, Kerman University of Medical Sciences, Kerman, Iran
A 45-year-old sheepherder from the south-eastern province of Iran was hospitalized due to two generalized tonic-clonic seizure attacks during the previous 2 years. He gave a history of close contact with sheep and stray dogs. He took phenytoin after the first seizure. Clinical examination was normal and revealed no neurological deficit. Laboratory tests including blood sugar, electrolytes, liver function tests and renal function tests were normal. Electroencephalography (EEG) demonstrated generalized slowing of brain activity and diffuse epileptiform waves. Brain computerized tomography (CT) scan showed a calcified, rather round mass at the parietal and temporal lobes. Magnetic resonance imaging (MRI) revealed a large lesion (53 × 44 × 38 mm) at temporoparietal lobes...
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