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>