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Figure 5: 3-year-old child with left hemimegalencephaly (a-d) with anterior to posterior gradient (maximal affection over the posterior head region-radiological and EEG) and refractory daily drop attacks [Case 4-Table 1]. Interictal EEG showed focal status over the left posterior head regions (note left-right bipolar anterior to posterior montage) (e). Ictal data suggested extratemporal left hemispheric drops. She underwent left posterior quadrantectomy and is seizure free at 2 years followup with improvement in cognitive, language, and motor skills

Figure 5: 3-year-old child with left hemimegalencephaly (a-d) with anterior to posterior gradient (maximal affection over the
posterior head region-radiological and EEG) and refractory daily drop attacks [Case 4-Table 1]. Interictal EEG showed
focal status over the left posterior head regions (note left-right bipolar anterior to posterior montage) (e). Ictal data suggested extratemporal left hemispheric drops. She underwent left posterior quadrantectomy and is seizure free at 2 years followup with improvement in cognitive, language, and motor skills