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CT detected only four cases of mesialtemporalsclerosis, while MRI showed nine cases.
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These findings suggest NAA predicts the surgical outcome in patients with TLE without evidence of mesialtemporalsclerosis on MRI.
3
Object: Resection of the hippocampus is the standard of care for medically intractable epilepsy in patients with mesialtemporalsclerosis.
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An MRI scan of the brain revealed the presence of right-sided mesialtemporalsclerosis, a known consequence of febrile seizures.
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Conclusion: Of the six features found in cases of mesialtemporalsclerosis on MR, increased hippocampal signal intensity is the most consistent.
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She was therefore referred for a presurgical evaluation which confirmed that the epileptic focus was associated with the area of mesialtemporalsclerosis.
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The most common findings were focal cortical dysplasia and vascular lesions, followed by mesialtemporalsclerosis, tumors, and scars from previous cerebral injuries.
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The results suggest that the contralateral hippocampus is affected by repeated seizure activity in the ipsilateral hippocampus, rather than presence of bilateral mesialtemporalsclerosis.
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Methods: MR imaging and (1)H-MRS were performed in 15 patients with mTLE with a postoperative diagnosis of mesialtemporalsclerosis and in 12 control volunteers.