====== Mesial Temporal Sclerosis Diagnosis ======

The diagnosis of mesial temporal sclerosis includes detailed history and physical examination. A history of a prolonged seizure with fever in early life can be a risk factor for development of MTS.

===== MRI =====

see [[Mesial Temporal Sclerosis MRI]].

===Nuclear medicine===

SPECT and PET imaging are also a useful adjuncts, with both ictal and inter-ictal scans demonstrating abnormalities

ictal scan: hyper perfusion

interictal scan: hypo perfusion

Other causes of temporal lobe epilepsy (TLE) should be considered, especially as small temproal lobe cortical tumours can have similar appearances.