[[Medial temporal lobe lesions]], may be responsible for [[seizure]]s, especially “[[uncal fits]]” ([[temporal lobe seizures]]). 1. [[hamartoma]] 2. [[mesial temporal sclerosis]] : should see [[atrophy]] of the [[parenchyma]] in this area with dilatation of the [[temporal horn]] of the [[lateral ventricle]] 3. [[glioma]]: may be low grade. Look for [[mass effect]] and possibly [[enhancement]]