Mesial temporal sclerosis

Case contributed by Bahman Rasuli
Diagnosis almost certain

Presentation

Intractable complex partial seizures resistant to medical treatment.

Patient Data

Age: 45 years
Gender: Female
mri

Hippocampal asymmetry where the left hippocampus shows volume loss and increased T2 signal intensity with dilatation of the adjacent left temporal horn.

Case Discussion

Features are characteristic of mesial temporal sclerosis.

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