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![The expanding spectrum of pediatric anti-glutamic acid decarboxylase antibody mediated CNS disease - a chance association?](https://image.oaes.cc/26cedaa3-6eae-47da-9b2c-48c0cab24098/1456.fig.1.png)
Figure 1. (A) Interictal activity in Case 2 during the first video EEG, consistent with an atypical left hemispheric dominant electrical status epilepticus in sleep; (B) ictal onset (arrow) in the form of low voltage fast activity over the left fronto-centro-parietal regions during hemiclonic seizure; (C) propogation of ictal activity over the left centro-parietal region (arrow); and (D) ictal activity during the established hemiclonic phase (arrow) demonstrating involvement of the left hemisphere with spread to the left posterior cortex. EEG: electroencephalogram