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A 40-year-old woman developed acute onset of right-sided weakness with ipsilateral partial motor seizures. She had a 6-month history of well-controlled rheumatoid arthritis treated with certolizumab (a biological pegylated tumour necrosis factor (TNF)-α inhibitors). MR scan of brain showed diffusion-weighted imaging (DWI) and fluid-attenuated inversion recovery (FLAIR) hyperintensity of the left fronto-parietal cortex without apparent diffusion coefficient (ADC) signal restriction and left-sided …
Contributors CT and CG: writing and editing the paper. CT, LP, CG and GS discussing the case and reviewing the paper.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Patient consent for publication Consent obtained directly from patient(s).
Provenance and peer review Not commissioned; externally peer reviewed by Gillian Ingram, Swansea, UK.