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Thalamic changes with mesial temporal sclerosis: MRI

We reviewed the preoperative images of 28 patients with pathologically proven mesial temporal sclerosis, to assess thalamic asymmetry and signal change. A further 25 nonsurgical patients with temporal lobe epilepsy and unequivocal, unilateral changes of mesial temporal sclerosis, and 20 controls, we...

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Published in:	Neuroradiology 2000-05, Vol.42 (5), p.346-351
Main Authors:	Deasy, N P, Jarosz, J M, Elwes, R C, Polkey, C E, Cox, T C
Format:	Article
Language:	English
Subjects:	Adult Atrophy Epilepsy, Temporal Lobe - complications Epilepsy, Temporal Lobe - pathology Female Humans Magnetic Resonance Imaging Male Sclerosis - pathology Temporal Lobe - pathology Thalamus - pathology
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creator	Deasy, N P Jarosz, J M Elwes, R C Polkey, C E Cox, T C
description	We reviewed the preoperative images of 28 patients with pathologically proven mesial temporal sclerosis, to assess thalamic asymmetry and signal change. A further 25 nonsurgical patients with temporal lobe epilepsy and unequivocal, unilateral changes of mesial temporal sclerosis, and 20 controls, were also reviewed. None of the control group had unequivocal asymmetry of the thalamus. There was an ipsilateral asymmetrically small thalamus in five (18%) of the surgical group and in three (12%) of the nonsurgical patients. In four cases there was thalamic signal change. In three patients with thalamic volume loss there was ipsilateral hemiatrophy. All patients with an asymmetrically small thalamus had an asymmetrically small fornix and all but one a small ipsilateral mamillary body.
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subjects	Adult Atrophy Epilepsy, Temporal Lobe - complications Epilepsy, Temporal Lobe - pathology Female Humans Magnetic Resonance Imaging Male Sclerosis - pathology Temporal Lobe - pathology Thalamus - pathology
title	Thalamic changes with mesial temporal sclerosis: MRI
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