The patient had been a heavy alcohol drinker (4-6L wine a day) and recently decided to quit cold turkey, prior to admission.
This patient went on to have a lumbar puncture which was bland with negative HSV PCR.
Thalamic as well as hippocampal high DWI signal is well described in the peri-ictal period in the setting of prolonged seizures.
Limbic (paraneoplastic) encephalitis is also a consideration on imaging, however it is at odds with the acute presentation.