Presentation
Complex partial seizures
Patient Data
Age: 20 years
Gender: Male
From the case:
Mesial temporal sclerosis
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Right hippocampal volume loss compared to left, with abnormal T2/FLAIR hyperintense signal.
Findings suggestive of right-sided mesial temporal sclerosis
Case Discussion
Hippocampal atrophy with volume loss and abnormal T2 and FLAIR hiperintensity is a diagnostic clue of mesial temporal sclerosis.
It is important to perform MR with epilepsy protocol for epilepsy screening patients.