Mesial temporal sclerosis

Case contributed by Dr Andrew Lawson

Presentation

Seizures.

Patient Data

Age: 42
Gender: Male
Modality: MRI

The right hippocampus is markedly smaller than the left with loss of the normal internal architecture and diffuse T2 high signal which involves the body and tail. The amygdala is unremarkable. The remainder of the temporal lobes are symmetrical. No evidence of associated neuronal migration abnormalities. The remainder of the brain is unremarkable with no evidence of restricted diffusion or regional susceptibility induced signal loss.

Conclusion: The imaging findings are consistent with mesial temporal sclerosis.

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Case Information

rID: 26379
Case created: 18th Dec 2013
Last edited: 2nd Oct 2015
Inclusion in quiz mode: Included

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