Mesial temproal sclerosis

Case contributed by A.Prof Frank Gaillard

Presentation

Seizures

Patient Data

Age: 40 years
Gender: Male
MRI

The left hippocampus is small and T2 hyperintense, with loss of the internal architecture. There is also a suggestion of mild increased T2 hyperintensity in the left amygdala.
Otherwise, unremarkable. In particular, no suspicious susceptibility, diffusion restriction or findings of a migrational anomaly or cortical dysplasia.

Conclusion

Findings are that of left mesial temporal sclerosis. Suggestion of left amygdala hyperintensity may be related, however, a concomitant ipsilateral amygdala pathology (ie. dysplasia) is not excluded.

Case Discussion

Typical features of left mesial temproal sclerosis.

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Case information

rID: 23307
Case created: 4th Jun 2013
Last edited: 1st Nov 2015
Inclusion in quiz mode: Included

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