W. Weiwad, S. Schaper, W. Köpernik, A. Jassoy (Halle-Dölau)  

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Head-Brain and brain nerves  

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Adolescent female patient, treatment resistant, long course of epilepsy with focal seizures. Focus was noticed in the right temporal area in the EEG.  

- Common cause of a temporal lobe epilepsy
- Focal, most one-sided neuronal degeneration and astrogliosis with atrophy of the hippocampus, ammonic horn, dentate gyrus, subiculum and corpus amygdaoideum.  

<- view MRI 1

MRI 1: T1-TIR: Examination in diagonal-coronal slicing (4 mm slice thickness): focal atrophy of the hippocampal region on the right side with asymmetrical temporal horn and thinning cortex of the hippocampus formation.




<- view MRI 2

MRT 2: T1-TIR, slight widened frontally located slice in diagonal-coronal slicing as in MRI 1: focal atrophy of the hippocampal region on the right side with asymmetrical temporal horn and thinning cortex of the hippocampus formation.




<- view MRI 3

MRI 3: T2-FLAIR-Sequence, the same slicing as in MRI 1 and 2: Increase in signals in the T2-weighted sequences: Astrogliosis with atrophy of the hippocampus, cornu ammonis, dentate gyrus, subiculum and corpus amygdaloideum.





<- view MRI 4

MRI 4: T2-TSE-Sequence, the same slicing as in MRI 1, 2 and 3: Increase in signals: Astrogliosis with atrophy of the hippocampus, cornu ammonis, dentate gyrus, subiculum and corpus amygdaloideum.


(No image: T1-weighted image - no contrast uptake)

 

Imaging including endoscopy  

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Epilepsy, hippocampal sclerosis, hippocampus sclerosis, focal seizures, EEG, child, childhood, pediatric radiology  

W Weiwad, S Schaper, W Köpernik, A Jassoy. Epilepsy due to hippocampal sclerosis. PedRad [serial online] vol 2, no. 8.
URL: www.PedRad.info/?search=20020807212928