Anti-glutamic acid decarboxylase encephalitis. Anti-glutamic acid decarboxylase encephalitis. A 61-year-old woman presented with headaches, mild confusion, and nystagmus without development of psychosis, severe encephalopathy, or seizures. MR imaging of the brain demonstrates T2-FLAIR hyperintensity in the right > left hippocampus (A and B), right > left insular cortex (B), and bilateral cingulate gyrus (C and D) without restricted diffusion (not shown), hemorrhage (not shown), or postcontrast enhancement (not shown). B.P. Kelley et al. AJNR Am J Neuroradiol 2017;38:1070-1078 ©2017 by American Society of Neuroradiology