Presentation
A child presented with long-standing epilepsy. To check for any structural cause of epilepsy.
Patient Data
Age: 10 years
Gender: Male
From the case:
Mesial temporal sclerosis
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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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