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Case courtesy of Dan Atherton, MD (Associate Professor, University of Alabama at Birmingham)

Case courtesy of Dan Atherton, MD (Associate Professor, University of Alabama at Birmingham)

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* 1. The images show the brain and calvarium of a 17-year-old girl who was found dead in her bed. She had a history of epilepsy, diagnosed when she was seven years old.  She was reportedly appropriately taking anti-epileptic medications. No competing cause of death was identified at autopsy, and death was certified as Sudden Unexpected Death in Epilepsy (SUDEP). Which of the following best explains the finding seen in this picture?

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