Community Forum Archive
MRI resultMon, 03/11/2019 - 13:36
Topic: Epilepsy.com Help
I was just diagnosed with epilepsy seizure In July so still really new to all this. Had mri done and they sent me results wish they would not do that lol. I don’t go back to doctor for few weeks was working if anyone knows what this means. ——- FINDINGS: There is an abnormality of the right hippocampal formation. Ventrally, the hippocampal head and proximal body are symmetric and normal in appearance. At approximately the mid body, reference coronal T2 image 14, the right hippocampus takes on a more bulbous configuration with architectural distortion. Distal to this, the remainder of the hippocampal body and tail has diminished volume relative to the right with additional prominent and tubular, compensatory appearing fimbria along the lateral margin of the hippocampus as depicted on coronal T2 images 10 through 7. There is no elevated signal to support hippocampal sclerosis and overall configuration suggests a developmental abnormality with perhaps a small region of cortical dysplasia not excluded along the mid body of the hippocampus (coronal T2 image 14), less likely mass lesion. Overall, the axial appearance on T2 and FLAIR imaging is stable compared to previous exam of 8/6/2018. There is no acute infarction, midline shift, hydrocephalus, or mass effect. A few scattered supratentorial white matter hyperintensities are stable. No abnormal enhancement. Anticipated flow voids are maintained. IMPRESSION: Disorganized appearance of the right hippocampal formation which has a bulbous configuration along the mid body with architectural distortion and distal volume loss of the distal body and tail. Compensatory appearing prominence of the fimbria along the lateral hippocampal margin. No elevated signal to support hippocampal sclerosis and this is likely developmental in nature. Potential focal region of dysplasia along the mid hippocampal body not excluded.
Most people with epilepsy do
Submitted by Amy Jo on Mon, 2019-03-11 - 15:10
Most people with epilepsy do not get an explanation for their epilepsy by looking at an MRI but with focal seizures, they would still check. Hippocampal sclerosis is associated with TLE and can be good news in that it is something they can address via surgery - but they don't see that in your imaging, more info https://www.epilepsy.com/learn/types-epilepsy-syndromes/temporal-lobe-epilepsy-aka-tleThey do see some cortical dysplasia but they think that's not new. Cortical dysplasia can explain why someone has seizures (often seizures which don't respond to medication), so ask if your doc thinks this explains your epilepsy, if it correlates to your EEG findings and what the next steps are regardless.There are actually a lot of variations and issues they'd see if they imaged everyone and often reports are unnerving for a layperson. But often not having the report is worse so it's a no win situation.