Consider the following medical report that includes the patient's historical health records. Use it to predict the disease that the patient is high likely exposed to. 

 Medical Report: allergies: no known allergies / adverse drug reactions attending: chief complaint: l temporal lobe epilepsy major surgical or invasive procedure: left temporal craniotomy for left temporal lobectomy history of present illness: 30 yo m with h/o l temporal lobe epilepsy with complex partial seizures and occasional grand mal seizures. this started approximately 10 years ago and he has had increasing frequency of seizures requiring medication adjustments. he reports no recent seizures but does have feelings of vu which have preceded seizures in the past. he has been evaluated by neurology and the focus of the seizures appears to come from the left temporal lobe. he had a recent study which showed l cerebral dominance and r sided memory. past medical history: l temporal lobe epilepsy, s/p splenectomy after mvc trauma - adhd social history: + ppd x 10 years, rare etoh, daily marijuana, currently on short-term disability family history: family hx: parents both abused drugs, additional history unknown. history of a paternal first cousin with seizures. physical exam: gen: wd/wn, comfortable, nad. neck: supple. lungs: cta bilaterally. cardiac: rrr. s1/s2. abd: soft, nt extrem: warm and well-perfused. no c/c/e. neuro: mental status: awake and alert, cooperative with exam, normal affect. orientation: oriented to person, place, and date. language: speech fluent with good comprehension and repetition. no dysarthria or paraphasic errors. cranial nerves: i: not tested ii: pupils equally round and reactive to light, 3 to 2 mm bilaterally. visual fields are full to confrontation. iii, iv, vi: extraocular movements intact bilaterally without nystagmus. v, vii: facial strength and sensation intact and symmetric. viii: hearing intact to finger rub bilaterally. ix, x: palatal elevation symmetrical. : sternocleidomastoid and trapezius normal bilaterally. xii: tongue midline without fasciculations. motor: normal bulk and tone bilaterally. no abnormal movements, tremors. strength full power throughout. no pronator drift sensation: intact to light touch bilaterally reflexes: b t br pa ac right 1 1 1 1 1 left 1 1 1 1 1 coordination: normal on finger-nose-finger, rapid alternating movements handedness right on discharge: a&ox3 perrl diplopia bilaterally no pronator drift eoms intact face symmetrical full strength throughout incision c/d/i pertinent results: mri head : 1. incidentally noted developmental venous anomaly in the right frontal lobe. 2. minimal asymmetry of the lateral ventricles of right larger than left. this is likely developmental in nature. 3. no masses or cortical lesions were identified. mri head : impression: stable appearance of incidentally noted right frontal and left cerebellar developmental venous anomalies. otherwise, unremarkable appearance of the brain, limited presurgical planning post-contrast mr sequences performed only. ct head : findings: the patient is status post left temporal craniotomy and partial left temporal lobectomy, with expected post-surgical changes with overlying soft tissues and pneumocephalus in the resection bed as well as layering non-dependently along the bifrontal convexities. scattered additional foci of pneumocephalus are seen. layering hyperdensity along the resection bed (2:11) could reflect small amount of layering blood. hypodensity in the left temporal alsolikely reflects a small amount of blood. the residual left temporal is hypodense, which likely reflects edema. no hydrocephalus is seen. there is no shift of normally midline structures. the prior mr demonstrated that the left lateral ventricle is asymmetrically smaller than the right; however, it may even be slightly compressed giving an even smaller appearance on the current examination. impression: status post left temporal lobectomy with post-surgical changes as described above, with layering blood along the resection margin and in the temporal of the left lateral ventricle and slight mass effect on the left lateral ventricle. ct head : impression: status post temporal lobectomy with interval decrease in the degree of pneumocephalus without other change. mri head : findings: the patient is status post left temporal lobectomy with expected post-operative changes including scalp swelling, a small subdural fluid collection, and hyperintensity on flair at the margins of the surgical site. there is also slow diffusion at the periphery of the left temporal lobectomy site. in the setting of acute surgery, it is impossible to distinguish surgical trauma from possible infarction in these areas. no other abnormalities are detected. the remainder of the brain demonstrates no evidence of hemorrhage, edema, masses, or infarction. conclusion: status post left temporal lobectomy with expected post-operative changes. foci of slow diffusion at the margins of the surgical site may reflect surgical trauma or infarction. brief hospital course: 30 y/o m with l temporal lobe seizures presents for elective l temporal lobectomy. patient was taken to the or on . or course was uncomplicated. post-operatively he was admitted to the icu for monitoring. his exam remained stable and he was transferred to the floor on . later that day, he had an episode of speech arrest and a stat head ct was performed which showed no acute intercranial process. his medications were corrected to home dosing. on , eeg was initiated. on , he was witnessed to have some staring spells, on eeg there was no seizure activity. eeg was then discontinued as it was felt his seizures may not be accurately seen on eeg and to continue to treat clinically. on the patient's speech was much improved. he continued to complain of double vision from his left sided 3rd nerve palsy. he was seen by physical therapy and occupational therapy. ot recommended changing eye patch on each eye q2h. he was determined safe to be discharged home on . at the time of discharge he was tolerating a regular diet, ambulating without difficulty, afebrile with stable vital signs. medications on admission: lacosamide 125 mg po bid; lamotrigine 300 mg po bid; lorazepam 0.5 mg po prn seizures, taking approximately 1x/week; acetaminophen prn headache discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 2. lamotrigine 100 mg tablet sig: three (3) tablet po bid (2 times a day). 3. lacosamide 50 mg tablet sig: 2.5 tablets po bid (2 times a day). 4. hydromorphone 2 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*50 tablet(s)* refills:*0* 5. famotidine 20 mg tablet sig: one (1) tablet po bid (2 times a day). discharge disposition: home discharge diagnosis: left temporal lobe seizures discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: ?????? have a friend/family member check your incision daily for signs of infection. ?????? take your pain medicine as prescribed. ?????? exercise should be limited to walking; no lifting, straining, or excessive bending. ?????? your wound closure uses dissolvable sutures, you must keep that area dry for 10 days. ?????? you may shower before this time using a shower cap to cover your head. ?????? increase your intake of fluids and fiber, as narcotic pain medicine can cause constipation. we generally recommend taking an over the counter stool softener, such as docusate (colace) while taking narcotic pain medication. ?????? unless directed by your doctor, do not take any anti-inflammatory medicines such as motrin, aspirin, advil, and ibuprofen etc. ?????? clearance to drive and return to work will be addressed at your post-operative office visit. ?????? make sure to continue to use your incentive spirometer while at home, unless you have been instructed not to. call your surgeon immediately if you experience any of the following ?????? new onset of tremors or seizures. ?????? any confusion or change in mental status. ?????? any numbness, tingling, weakness in your extremities. ?????? pain or headache that is continually increasing, or not relieved by pain medication. ?????? any signs of infection at the wound site: redness, swelling, tenderness, or drainage. ?????? fever greater than or equal to 101?????? f. followup instructions: follow-up appointment instructions ??????please return to the office in days(from your date of surgery) for a wound check. this appointment can be made with the nurse practitioner. please make this appointment by calling . if you live quite a distance from our office, please make arrangements for the same, with your pcp. ??????please call ( to schedule an appointment with dr. , to be seen in weeks. ??????you will need a ct scan of the brain without contrast. ?????? please follow up with ophthalmology for evaluation of you diplopia. this appointment can be scheduled by calling the clinic at (. ?????? please follow up with your primary neurologist procedure: other repair of cerebral meninges operations on two or more extraocular muscles involving temporary detachment from globe, one or both eyes lobectomy of brain diagnoses: headache aphasia third or oculomotor nerve palsy, partial visual discomfort localization-related (focal) (partial) epilepsy and epileptic syndromes with complex partial seizures, with intractable epilepsy 

Answer: The patient is high likely exposed to