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| Search Results for => Mesial <= Result Items 1 - 20 |
| Case ID: 12350 Sample Image  Click to View  |  ::  - TF Case ::  - Thumbnails ::  - Topic
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| Diagnosis | Mesial Temporal Sclerosis | |
| History | 11 y.o. girl with vomiting, headache, "seizures", and progressive myalgia over the past 2 days. Patient’s father reports a fever of 102 degrees Fahrenheit and she was described as unresponsive with eyes deviated to the left while she was lying on the couch. Seizure activity (shaking) was described as beginning in both upper extremities - then progressed to involve both lower extremities. No significant past medical history. | |
| Findings | Abnormal signal intensity in the medial aspect of the right temporal lobe present on all sequences except T1. Area of abnormality is present on diffusion weighted images as well. Temporal horn enlargement on right. | |
| Differential Dx | • Encephalitis • Tumor (low-grade astrocytoma, ganglioglioma, etc.) • Inflammatory changes • Mesial Temporal Sclerosis (should have atrophy) • Seizure induced signal change (should resolve) | |
| Discussion | ... (continues ...) | |
| User Group | ||
| Contributor | Shiao-Pei S Pan :: Childrens Hospital of Dayton, OH -  | |
| Reviewer | Dawn E Light :: Childrens Hospital of Dayton, OH - Case Accepted: 2008-08-26 15:13:25-04 :: Revised: :: Submitted: | |
| Case ID: 8881 Sample Image  Click to View | :: - TF Case :: - Thumbnails :: - Topic
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| Diagnosis | Mesial Temporal Hypometabolism (sclerosis) | |
| History | 78 y.o. man with chronic seizure disorder and worsening memory loss. | |
| Findings | 18-FDG PET images demonstrate decreased cerebral metabolism in the left hippocampus and the bilateral parietal lobes. Coronal T2/Flair MR images demonstrate decreased signal and size of the left hippocampus, relative to the right. | |
| Differential Dx | Multiple infarcts / ischemia Alzheimer's dementia Mesial temporal sclerosis | |
| Discussion | ... (continues ...) | |
| User Group | ||
| Contributor | Erik S Storm :: Uniformed Services University - | |
| Reviewer | Frank Schraml :: National Naval Medical Center Bethesda - Case Accepted: 2008-08-26 15:13:25-04 :: Revised: :: Submitted: | |
| Case ID: 4796 Sample Image  Click to View | :: - TF Case :: - Thumbnails :: - Topic
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| Diagnosis | Mesial Temporal Sclerosis | |
| History | A 29-year-old woman presents for radiological evaluation of refractory partial complex seizures. An MRI performed several years earlier was reported to be normal. | |
| Findings | Multiple MR images through the hippocampi show the following abnormalities of the left hippocampus with respect to the contralateral hippocampus: (1) relative T2 hyperintensity, (2) diminished volume (i.e., hippocampal atrophy), and (2)loss of internal architecture. | |
| Differential Dx | Mesial temporal sclerosis of the left hippocampus. | |
| Discussion | ... (continues ...) | |
| User Group | ||
| Contributor | Richard P. Moser, III :: Walter Reed Army Medical Center - | |
| Reviewer | :: - Case Accepted: 2008-08-26 15:13:25-04 :: Revised: :: Submitted: | |
| 3 Search Results for => Mesial <= Result Items 1 - 20 |
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