Relative utility of ¹ H spectroscopic imaging and hippocampal volumetry in the lateralization of mesial temporal lobe epilepsy

Abstract

Volumetry and 1H MRSI correctly lateralized most patients with MTLE and complement each other in final lateralization. The lack of correlation between the severity of volume loss and the degree of metabolic disturbance suggests that the techniques examine distinct pathophysiologic processes in MTLE.