Mesial temporal sclerosis
Seizures, old CVA
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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.
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.
- Dekeyzer S, De Kock I, Nikoubashman O, et al. "Unforgettable" - a pictorial essay on anatomy and pathology of the hippocampus. Insights Imaging. 2017;8(2):199–212. doi:10.1007/s13244-016-0541-2
- Congyu Liao, Kang Wang, Xiaozhi Cao, Yueping Li, Dengchang Wu, Huihui Ye, Qiuping Ding, Hongjian He, Jianhui Zhong. Detection of Lesions in Mesial Temporal Lobe Epilepsy by Using MR Fingerprinting. (2018) Radiology. 288 (3): 804-812. doi:10.1148/radiol.2018172131 - Pubmed