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on, MD, FRCP
From the Departments of Neurology, Neuroradiology, and Neurosurgery (Drs. Cunha Bastos, Andermann, Melan
on, Cendes, Dubeau, and Olivier), Montreal Neurological Institute and Hospital, McGill University, Montreal, Quebec, Canada; and the Department of Neurology (Dr. Guberman), University of Ottawa, Ottawa, Ontario, Canada.
Address correspondence to Dr. F. Andermann, Montreal Neurological Institute and Hospital, 3801 University Street, Montreal, Quebec, Canada H3A2B4.
MRI signal changes within the hippocampal sulcus have been attributed to a dilated Virchow-Robin space within that sulcus, but no clinical correlates have previously been described. We present a 64-year-old man who developed right temporal seizures. MRI revealed an unusually enlarged Virchow-Robin space within the hippocampus, suggesting space-occupying effect. Such an abnormality should be considered a possible etiology in patients with late-onset temporal lobe epilepsy.
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