After she was weaned off the sedation, her score on the Mini-Mental State Examination (MMSE) (1, 2) was 15 out of 30 (indicating moderate cognitive impairment), her score on the Pediatric Anesthesia Emergence Delirium Scale (3) was 9 out of 20 (subsyndromal delirium), and her score on the Positive and Negative Syndrome Scale (PANSS) (4) was 80 (moderately ill); these values were in line with our clinical examinations. Her medications were lorazepam, trazodone, risperidone, methadone, and methylprednisolone for the insomnia, agitation, and encephalitis. As she gradually recovered we asked her to draw something. She did not know what to draw, so we suggested an animal, such as a dog, but she did not know how to start. When we told her that a dog has four legs, a tail, two ears, two eyes, and a mouth, she drew an abstract figure that consisted of a head with four legs (image A). Her next drawing, of a cat, looked exactly the same, apparently since they share the same basic features. The image showed us pictorial evidence of her higher cortical dysfunctions regarding imaginary representation, praxis, and language.