IMPORTANT: We currently have a number of bugs related to image cropping and are actively trying to resolve them. In the meantime, we have disabled cropping. Apologies for any inconvenience. Stay informed: radiopaedia.org/chat

Mesial temporal sclerosis (unilateral)

Case contributed by Prashant Gupta
Diagnosis almost certain

Presentation

H/o complex partial seizures

Patient Data

Age: 30 years
Gender: Female

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.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.