Mesial temporal sclerosis

Case contributed by Dr Utkarsh Kabra

Presentation

Seizures, old CVA

Patient Data

Age: 40 years
MRI

Partial atrophy with mild T2 hyperintensity and loss of internal architecture of right hippocampus suggests mesial temporal sclerosis. 

Gliotic areas in bilateral corona radiata and basal ganglia and a small chronic infarct seen in the left thalamus, right thalamus, pons, bilateral periventricular and subcortical white matter.

Case Discussion

Especially in the setting of partial atrophy with mild hyperintensity and loss of internal architecture of right hippocampus suggests mesial temporal sclerosis, although the temporal and causal relationship between it and the infarcts is uncertain. 

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Case information

rID: 69767
Published: 23rd Jul 2019
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included
Institution: Getwell Poly Clinic & Hospital

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