Mesial temporal sclerosis (unilateral)

Case contributed by Dr Prashant Gupta

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.

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Case information

rID: 17843
Published: 18th May 2012
Last edited: 13th Aug 2019
Inclusion in quiz mode: Included

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