Epilepsy MRI

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Fahimeh Shojaei, M.D.

Overview

MRI may be helpful in the diagnosis of epilepsy. Findings on MRI suggestive epileptic seizure include: Mesial temporal sclerosis, sequelae of head injury, congenital anomalies, brain tumors, cysticercosis, vascular lesions, strokes, cerebral degeneration and neoplasms.

MRI

• MRI may be helpful in the diagnosis of epilepsy. Findings on MRI suggestive epileptic seizure include:
  • Mesial temporal sclerosis
  • Sequelae of head injury
  • Congenital anomalies
  • Brain tumors
  • Cysticercosis
  • Vascular lesions
  • Strokes
  • Cerebral degeneration
  • Neoplasms

NOTE: About 50 percent of epileptic patients have normal MRI.

temporal sclerosis, Case courtesy of Dr Bruno Di Muzio, <a href="https://radiopaedia.org/">Radiopaedia.org</a>. From the case <a href="https://radiopaedia.org/cases/36814">rID: 36814</a>

Intraventricular neurocysticercosis, Case courtesy of Dr Prashant Mudgal, <a href="https://radiopaedia.org/">Radiopaedia.org</a>. From the case <a href="https://radiopaedia.org/cases/26460">rID: 26460</a>

Stroke, Case courtesy of Dr Ian Bickle, <a href="https://radiopaedia.org/">Radiopaedia.org</a>. From the case <a href="https://radiopaedia.org/cases/26722">rID: 26722</a>