A 53-year-old man with a history of hypertension presented with new-onset seizures. On the day of admission, he was witnessed by his son to have right-sided jerking that lasted for 1 minute, after which he fell forward and lost consciousness. He was disoriented, drowsy, and only regained full consciousness in the ambulance. Occasional jerks of the right upper limb had been observed while the patient was writing and performing daily activities for 2 days prior to the event. He also complained of 10 kg of unintentional weight loss over a period of 2 months with no other systemic complaints.

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