MRI evidence of bilateral hippocampal sclerosis in amnestic mild cognitive impairment

M Sepe-Monti1, A De Carolis, G Bomboi

  • 1Neurology, S. Andrea Hospital, University of Rome La Sapienza, Rome, Italy. micaela.sepe_monti@uniroma1.it

Insights

Amnestic mild cognitive impairment (aMCI) can present with bilateral hippocampal sclerosis, as seen on MRI. Coronal T2-weighted MRI images are useful for diagnosing this heterogeneous dementia syndrome.

Area of Science:

  • Neurology
  • Radiology
  • Neuroimaging

Background:

  • Mild cognitive impairment (MCI) is a transitional stage between normal aging and dementia.
  • Amnestic MCI (aMCI) specifically affects memory and is a common predromal stage for Alzheimer's disease.
  • The underlying neuropathology of aMCI is recognized as heterogeneous, complicating diagnosis and prognosis.

Observation:

  • A case study of a male patient diagnosed with aMCI is presented.
  • Magnetic resonance imaging (MRI) revealed bilateral hippocampal sclerosis in the patient.
  • Hippocampal sclerosis, typically associated with temporal lobe epilepsy, was observed in an aMCI patient.

Findings:

  • The findings suggest that aMCI is not a monolithic condition but a heterogeneous syndrome.
  • Bilateral hippocampal sclerosis can be a presenting feature of aMCI.
  • Coronal T2-weighted MRI sequences effectively visualized the hippocampal pathology.

Implications:

  • Routine dementia workup should consider the utility of coronal T2-weighted MRI images.
  • Identifying specific neuroimaging markers like hippocampal sclerosis may aid in subtyping aMCI.
  • Further research is warranted to explore the spectrum of neuroimaging findings in aMCI and their clinical significance.