24 y old woman with acute confusion https://www.mesquiteneurologist.com/apps/photos/ 24 y old woman with acute confusion FLAIR Patient had acute amnesia and confusion. MRI showed non-specific white matter disease over the left more than right frontal. Diffusion weighted images is normal. EEG showed bitemporal theta slowing but no clear epileptiform discharges. No metabloic or infectious etiology was found https://www.mesquiteneurologist.com/apps/photos/photo?photoID=174005416 174005416 CT of abdomen/pelvis Concerning for a paraneoplastic ovarian tumor with neuropsychiatric manifestaion, CT of abdomen and pelvis confirmed our diagnosis. Patient had ovarian teratoma. https://www.mesquiteneurologist.com/apps/photos/photo?photoID=174005417 174005417