Mesial temporal sclerosis

Case contributed by Royal Melbourne Hospital

MRI brain

Modality: MRI

SPECT

Ictal : No hyperperfusion seen. Hypoperfusion seen in left temporal and parietal lobes.

Interictal: Focal hypoperfusion of left temporal lobe.

Conclusion: Although there is no active focus of epilepsy, hypoperfusion of left temporal lobes in both studies is consistent with left MTS.

Histology

Modality: Pathology

1. Temporal lobe lateral: Mild Chaslin's sclerosis only. 2. Hippocampus: Hippocampal sclerosis - Blumcke Type Ia. 3. Maxilla, uncus; Focal cortical dysplasia - Taylor Type IIa.

Case Discussion

This case is in progress.

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Case Information

rID: 15184
Case created: 30th Sep 2011
Last edited: 10th Sep 2015
Inclusion in quiz mode: Included

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