Presentation
H/o complex partial seizures
Patient Data
Age: 30 years
Gender: Female
From the case:
Mesial temporal sclerosis (unilateral)
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There is volume loss and hyperintensity in the right hippocampus with a prominent temporal horn
note also the secondary signs in form of atrophy of the ipsilateral mamillary body and ipsilateral fornix.
Case Discussion
Presence of primary signs means that the patient has a 70 - 90% chance of being seizure free after surgery as opposed to 50% if these signs are absent
The identification of secondary signs can increase the specificity of these findings.