A 5-year-old boy presented with history of focal seizures which are associated with episodes of impaired consciousness. Patient also gave history of episodic behavioral changes which include agitation and dream like state with thrashing movements of his limbs. The child doesn't recall these episodes and there is no apparent precipitating factor. There is also a history of seizures in the family. Seizures are often intractable. Lab studies revealed Unilateral or bilateral anterior temporal spikes on EEG, Hypometabolism on interictal PET, Hypoperfusion on interictal SPECT and Material-specific memory deficits on intracranial amobarbital (Wada) test. MRI of the brain was also done. Which of the following structures is commonly affected in the above condition: -
THIS IS A CLASSICAL CASE OF MESIAL TEMPORAL LOBE EPILEPSY IN WHICH TEMPORAL LOBE AND HYPOTHALAMUS ARE AFFECTED MOST COMMONLY.
PA C
PA B
PA A
PA D
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