Mesial temporal sclerosis

Case contributed by Assoc Prof Frank Gaillard

Presentation

seizure

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

MRI

Marked asymmetry of the hippocampal heads with an atrophic right side. Additionally the right hippocampus demonstrates high signal on FLAIR. Features are consistent with mesial temporal sclerosis

Case Discussion

The patient went onto have a hippocampectomy. 

Histology

Sections of the mesial structures show extensive mesial temporal sclerosis, represented by neuronal loss in sector CA1, with less mild neuronal loss in sectors CA3 and CA4

Final Diagnosis: right mesial temporal sclerosis.

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Case information

rID: 5318
Published: 2nd Jan 2009
Last edited: 2nd Jun 2020
Tag: mts
Inclusion in quiz mode: Included

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