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Epileptic patient with a small cyst in hippocampus

Case Study
Ajithkumar, Devaki Ramachandran Philips Healthcare • China, People's Republic of
Rajendran, Karthick Raj Philips Healthcare • India
Aziz, Mudasir Philips Healthcare • India

Patient history

A 41-year-old male with a history of seizures since three years underwent an MRI examination on Multiva 1.5T at Holy Family Hospital, New Delhi, India.

Courtesy of Dr. Renee Kulkami and Dr Sameer Kausik, Holy Family hospital, New Delhi, India.

MR examination

The MRI examination according to the hospital epilepsy protocol was performed on a release 5 Multiva 1.5T system using the head part of the HeadSpineTorso (HST) coil.


The epilepsy protocol demands high resolution, thin slice scanning with different weightings to rule out subtle pathologies. Epilepsy imaging using Multiva could demonstrate very tiny cysts with great resolution using VISTA, T1W IR, T2W, FLAIR sequences and subtle metabolite ratio reduction in MR spectroscopy.


View ExamCard used:

Images and findings

Click on an image to enlarge
 Coronal FLAIR Coronal T1 VISTA
Coronal FLAIR
Coronal T1


The images from this epilepsy protocol suggest well-marginated, oval-shaped cystic focus, hyperintense on T2W and hypointense on T1W and FLAIR imaging with no diffusion restriction. It measures 5.2 x 3.9 mm. Spectroscopy suggests marginally reduced NAA/Cho and NAA/Cr ratios suggestive of subtle neuronal dysfunction or decreased focal neuronal viability.


This study done with epilepsy protocol, suggests a small, relatively well marginated, non-enhancing left choroidal fissure cyst causing subtle focal indentation on left hippocampal formation and is associated with minimal perifocal gliosis.

Impact of using Multiva 1.5T

These images show outstanding performance for the sensitivity and specificity of the pathology. 



Results from case studies are not predictive of results in other cases. Results in other cases may vary. This content is not for use in the USA.

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Jan 12, 2016

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Case Study
Multiva 1.5T
Release 5
epilepsy, Hippocampus, Neuro, VISTA

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