Mesial temporal sclerosis

Case contributed by Ali Alsmair
Diagnosis almost certain


A child presented with long-standing epilepsy. To check for any structural cause of epilepsy.

Patient Data

Age: 10 years
Gender: Male

The left hippocampus appears relatively slightly smaller than the right and shows increased T2/FLAIR signal intensity. No significant temporal horn dilatation.

Features are highly suggestive of left-sided Mesial temporal sclerosis.

Case Discussion

Mesial temporal sclerosis is the most common association with intractable temporal lobe epilepsy It is initially treated with anti-epileptic agents, but in resistive cases surgery maybe needed.

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