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Magnetic resonance imaging of mesial temporal sclerosis: Case reports

  • Paul M. Maertens
    Correspondence
    Address reprint requests to: Paul Maertens, MD, University of South Alabama, Department of Radiology, P.O. Drawer 8486, Mobile, Alabama 36688.
    Affiliations
    From the Departments of Neurology and Radiology, University of South Alabama Medical Center, Mobile, Alabama, USA

    Departments of Neurology and Pathology, University of Mississippi Medical Center, Jackson, Mississippi, USA
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  • Byron C. Machen
    Affiliations
    From the Departments of Neurology and Radiology, University of South Alabama Medical Center, Mobile, Alabama, USA

    Departments of Neurology and Pathology, University of Mississippi Medical Center, Jackson, Mississippi, USA
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  • J.Powell Williams
    Affiliations
    From the Departments of Neurology and Radiology, University of South Alabama Medical Center, Mobile, Alabama, USA

    Departments of Neurology and Pathology, University of Mississippi Medical Center, Jackson, Mississippi, USA
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  • Owen Evans
    Affiliations
    From the Departments of Neurology and Radiology, University of South Alabama Medical Center, Mobile, Alabama, USA

    Departments of Neurology and Pathology, University of Mississippi Medical Center, Jackson, Mississippi, USA
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  • Jose Bebin
    Affiliations
    From the Departments of Neurology and Radiology, University of South Alabama Medical Center, Mobile, Alabama, USA

    Departments of Neurology and Pathology, University of Mississippi Medical Center, Jackson, Mississippi, USA
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  • Bassam Bassam
    Affiliations
    From the Departments of Neurology and Radiology, University of South Alabama Medical Center, Mobile, Alabama, USA

    Departments of Neurology and Pathology, University of Mississippi Medical Center, Jackson, Mississippi, USA
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  • Gary B. Lum
    Affiliations
    From the Departments of Neurology and Radiology, University of South Alabama Medical Center, Mobile, Alabama, USA

    Departments of Neurology and Pathology, University of Mississippi Medical Center, Jackson, Mississippi, USA
    Search for articles by this author
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      Abstract

      Two patients with uncontrollable complex partial seizures had normal findings on pre- and postinfusion computed tomography scans. Magnetic resonance imaging demonstrated, in both patients, a lesion in the temporal lobe suggestive of mesial temporal sclerosis. One patient underwent temporal lobectomy, and the radiologic diagnosis was verified. In patients with complex partial seizures, magnetic resonance imaging appears to be able to noninvasively localize temporal lobe lesions in preparation for surgical intervention.

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