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2016 ; 7
(2
): 265-74
Nephropedia Template TP
Insights Imaging
2016[Apr]; 7
(2
): 265-74
PMID26911968
show ga
The temporal lobes have unique architecture, and functionality that makes them
vulnerable to certain disease processes. Patients presenting with bilateral
temporal lobe disease are often confused and have altered consciousness, and are
therefore unable to provide cogent histories. For these reasons, imaging plays an
important role in their workup and management. Disease entities causing bilateral
temporal lobe involvement can be infectious, metabolic, neoplastic, and
degenerative aetiologies, as well as trauma and cerebrovascular events. We will
first describe the structural and functional anatomy of the temporal lobes and
explain the mechanisms that underlie bilateral temporal lobe disease, and then
show and discuss the different disease entities and differential diagnosis.
TEACHING POINTS: ? Bilateral temporal lobe disease is a unique pattern with
specific differential diagnosis. ? Patients presenting with bilateral temporal
lobe disease are often confused. ? Radiologists should be familar with the
variety of disease processes that cause bitemporal disease.
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