Temporal lobe atrophy

Case contributed by Dr Ian Bickle

Presentation

Adult with epilepsy on medication. No prior imaging investigation.

Patient Data

Age: 35 years
Gender: Male
MRI

Moderate degree of volume loss of the left temporal lobe very much excessive for the patient's age.

The left temporal horn is dilated measuring 8 mm vis-à-vis 2 mm for the normal contralateral side.

Marked volume loss of the left hippocampus.

The remainder of the brain is normal in appearance.

Case Discussion

Left temporal lobe atrophy including extensive sclerosis of the hippocampus consistent with a structural cause for epilepsy.

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