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RADPILES
CASES
QUIZ
QUESTION-1:
What’s Following MRI Images represented of:
Bilateral Meso-temporal Sclerosis.
Chronic small vessle ischemia.
Parkinson disease.
Correct Answer: Bilateral Meso-temporal Sclerosis.
The Previous image show hyperintense T2 signal of both medial temporal lobes , suggestive of medial temporal sclerosis.
Parkinson disease shows mild T2 hyperintensity of substantia nigra and red nuclei in Brain stem.
Chronic Small vessel ischemia appear in peri-ventricular region.
Pearls:
Bilateral is relatively rare, but still seen.
Usually look for hyperintensity of the hippocampus and parahippocampal gyrus.
If infectious history and if there is evidence of hemorrhage would include HSV as a diff dx.
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