How MRI guides epilepsy diagnosis and surgical planning

MRI is essential for detecting potentially surgical epileptogenic lesions. Dedicated epilepsy protocols with 3D T1, high-resolution T2/FLAIR, and susceptibility-weighted sequences increase sensitivity. Early imaging can identify hippocampal sclerosis, focal cortical dysplasia, a…

• Educational overview of MRI protocols and structural lesions in epilepsy; no original research data reported.
• High-resolution 3D sequences and a dedicated epilepsy protocol improve detection of subtle cortical malformations compared to routine brain MRI.
• Limitation: summarizes expert consensus and institutional practice, lacking systematic review or meta-analytic methodology.

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