Campbell ZM, et al. - In this retrospective review of 434 patients with refractory temporal lobe epilepsy, researchers investigated whether careful review of neuroimaging in these patients by an experienced neuroradiologist could yield improved detection of temporal encephaloceles (TEs), and if other clinical, neurophysiologic, and radiologic findings could predict their presence. According to findings, the detection of subtle TEs could be increased via careful review of MR imaging by a board-certified neuroradiologist with special attention paid to a high-resolution T2 sequence. Also, their presence could be suspected in the presence of certain clinical and neurophysiologic findings. An increased detection of TE happened in patients in whom 3T MR imaging was performed, the T2 sampling perfection with application-optimized contrasts by using different flip angle evolutions sequence was used, or the presence of radiologic findings suggestive of idiopathic intracranial hypertension was noted.