Mesial temporal lobe sclerosis

Case contributed by Roberto Schubert
Diagnosis certain

Presentation

Known temporal lobe epilepsy with complex partial seizures.

Patient Data

Age: 30 years
Gender: Male

Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.

Irregular T2-hyperintense lesion in the right hippocampus with unilateral mesial temporal atrophy and enlargement of the temporal horn of the right lateral ventricle. Findings consistent with mesial temporal sclerosis. 

Case Discussion

Typical appearances of mesial temporal sclerosis. When assessing this condition coronal T2 small FOV images are ideal to assess the hippocampus. 

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