Mesial temporal sclerosis

Case contributed by Saad Ahmed Saad Hassan
Diagnosis certain

Presentation

Focal seizure with impaired awareness

Patient Data

Age: 65 years
Gender: Female
mri

There are volume loss, obscuration of the internal structures and increased T2 and FLAIR signal of the left hippocampus. Ther is also enlargement of the ipsilateral temporal horn and choroidal fissure.

The right hippocampus is normal.

Case Discussion

Findings are consistent with a left mesial temporal sclerosis.

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