Mesial temporal sclerosis - bilateral

Case contributed by Hani Makky Al Salam
Diagnosis almost certain

Presentation

Intractable seizures

Patient Data

Age: 60 years
Gender: Male

Brain MRI was performed which shows reduced hippocampal volume and foci of abnormal increased signal intensity involving the medial temporal lobes bilaterally on the coronal FLAIR sequence.

Case Discussion

Features are consistent with the diagnosis of bilateral mesial temporal sclerosis.

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