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April 1986

Magnetic Resonance Imaging (1.5 Tesla) in Patients With Intractable Focal Seizures

Author Affiliations

From the Departments of Neurology (Drs Lesser, Lüders, Dinner, and Morris), Radiology (Drs Modic, Weinstein, and Duchesneau), Pathology (Drs Estes and Chou), and Neurosurgery (Dr Hahn), Cleveland Clinic Foundation. Dr Modic is now with Case Western Reserve University School of Medicine, Cleveland.

Arch Neurol. 1986;43(4):367-371. doi:10.1001/archneur.1986.00520040049018

• Magnetic resonance (MR) (1.5 tesla) studies were performed in ten patients with temporal lobe epilepsy and two with temporofrontal epilepsy. Two patients with temporal lobe epilepsy and one with temporofrontal epilepsy exhibited areas of increased signal intensity on T2-weighted images in the mesiobasal portion of the temporal lobe shown by electroencephalography to be the epileptogenic focus; no analogous abnormalities had been found in these patients on computed tomographic scans. Pathologic studies have not revealed a specific ultrastructural correlate for the MR findings in this group of patients. We found MR to be a useful, noninvasive diagnostic adjunct in the presurgical assessment of some patients with temporal lobe epilepsy. Where abnormalities were found, they corresponded with the epileptogenic focus as defined by electroencephalography.