Endfolium sclerosis in temporal lobe epilepsy diagnosed preoperatively by 3-tesla magnetic resonance imaging: Case report

Masaki Iwasaki, Nobukazu Nakasato, Hiroyoshi Suzuki, Teiji Tominaga

研究成果: Article査読

7 被引用数 (Scopus)

抄録

A 34-year-old man presented with intractable temporal lobe epilepsy. Three-tesla magnetic resonance imaging revealed increased T2 signal intensity and volume loss limited to the CA4 region of the right hippocampus. A right anterior temporal lobectomy and amygdalohippocampectomy were performed. Histological examination of the hippocampus disclosed severe neuron loss limited to the CA4 region, consistent with the preoperative imaging, which is a pattern known as endfolium sclerosis. Close inspection of the internal hippocampal anatomy with high-field MR imaging is useful in patients with temporal lobe epilepsy, because endfolium sclerosis may be associated with less chance of seizure freedom after temporal lobectomy.

本文言語English
ページ(範囲)1124-1126
ページ数3
ジャーナルJournal of neurosurgery
110
6
DOI
出版ステータスPublished - 2009 6月

ASJC Scopus subject areas

  • 外科
  • 臨床神経学

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