Status epilepticus is usually a straightforward diagnosis when a patie
nt has two or more seizures without regaining consciousness, However,
when status is nonconvulsive and, in particular, has a temporal lobe f
lavour the clinical presentation may be misleading, Presentation with
automatic or psychic behaviour is well recorded. We report a patient w
ith nonconvulsive status who presented with progressive dysphasia with
widespread CT and MRI changes. The dysphasia and imaging changes led
to a diagnosis of a probable neoplastic brain process but reversed wit
h anticonvulsant treatment.