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  • 3-week history of seizures (acute onset). In the last week she started not eating well and became lethargic; temperature: 104.7°F.

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  • Thick mandibles bilaterally with heterogeneous signal pattern; surrounding contrast enhancement that is worse on the right.
  • Periosteal proliferation along the right mandible to the level of the tympanic bulla.
  • Fluid signal in the right bulla.
  • Craniomandibular osteopathy.
  • Seizures were suspected to be due to idiopathic epilepsy.
  • A CSF tap came back normal. Infectious disease testing (Toxo, Neospora, Crypto, Blasto, Distemper, Lyme, RMSF) all came back negative.
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