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Radiology General 9eb5f4b5

All of the following are MRI features of Mesial temporal sclerosis, except:

A
Atrophy of fornix
B
Atrophy of hippocampus
C
Blurring of Grey white matter junction of ipsilateral temporal lobe
D
None of the above
High-Yield Explanation
Classic imaging findings in Mesial temporal sclerosis are hippocampal atrophy, increased T2 signal and loss or distoion of adjacent white matter. Secondary MRI findings include (ipsilateral to side of MTS) ? Temporal horn dilatation ? Loss of hippocampal internal architecture ? Atrophy of temporal afferent and efferent pathways ? Decreased hippocampal signal on T1 weighted images ? Poor parahippocampal grey white matter differentiation ? Narrowed collateral white matter in adjacent para hippocampal gyrus Ref: Brain Imaging Case Review Series By Arora, Page 152; Atlas of Epilepsies By C. P. Panayiotopoulos, Page 795; Pediatric Epilepsy: Diagnosis and Therapy By John M. Pellock, 3rd Edition, Page 43

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