Mesial Temporal Sclerosis

  • Etiology: controversial: is it result of temporal lobe epilepsy or vice versa
  • Imaging: 15% bilateral, atrophy of hippocampus / amygdala / fornix / mamillary body
  • MRI: T2 hyperintense
  • PET FDG: low metabolism
  • Clinical: causes chronic refractory seizures

Cases of Mesial Temporal Sclerosis