Correct!
- Infantile spasms
There is a clear hypermetabolism in the entire left frontal lobes (red arrows), left insula (blue arrowheads), and anterior left temporal lobe (green arrows), consistent with the epileptic zones during an ictal study.
Follow-Up
Left anterior and left temporal lobe resection in with resolution of seizures.
Bonus Question
Is this an ictal or an interictal study?