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Year : 1999  |  Volume : 47  |  Issue : 2  |  Page : 163

Mesial temporal sclerosis.


Comprehensive Epilepsy Program, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, Kerala, 695011, India.

Correspondence Address:
Comprehensive Epilepsy Program, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, Kerala, 695011, India.



How to cite this article:
Rao M B, Radhakrishnan K. Mesial temporal sclerosis. Neurol India 1999;47:163


How to cite this URL:
Rao M B, Radhakrishnan K. Mesial temporal sclerosis. Neurol India [serial online] 1999 [cited 2014 Sep 16];47:163. Available from: http://www.neurologyindia.com/text.asp?1999/47/2/163/1625



Features of mesial temporal sclerosis in a 32 year old man, who presented with intractable complex partial seizures of right temporal origin of 13 years duration, are described. Clinical examination revealed no neurological deficit. Magnetic resonance image scan of the brain, axial view, TI weighted image [Figure 1] shows marked atrophy of the right hippocampus (arrow head). Axial view, T2 weighted image [Figure 2]. shows dilatation of the temporal horn (arrow) secondary to the hippocampal atrophy. Scalp EEG and prolonged digital video EEG findings showed seizures of right temporal origin. He underwent right fronto-temporal craniotomy, anterior temporal lobectomy along with amygdalohippocampectomy. Histopathology of the hippocampus revealed neuronal loss and glial cell proliferation. He remained seizure free following the surgery at the last follow-up.

 

 

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