A 31-year-old male presented with a recurrence of generalized tonic-clonic seizures two years after undergoing surgery to remove a left insular glioma in 2017. He had been seizure-free until 2020 but has now experienced 5-6 seizure episodes in the past two years. A contrast MRI brain with tractography was ordered to investigate the recurrent seizures and evaluate the possibility of tumor regrowth.