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Mesial temporal sclerosis

Case contributed by Mahomed A. Osman
Diagnosis almost certain

Presentation

Temporal lobe epilepsy

Patient Data

Gender: Male
mri

Reduced volume of the left hippocampus compared to the right, with an area of subtle hyperintense signal on FLAIR sequences. This represents neuronal loss and gliosis consistent with left sided mesial temporal sclerosis.

Case Discussion

The diagnosis was confirmed with histopathological analysis.

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