Abstract

ABSTRACTSubtle structural deformities of the cerebral cortex have been shown to be the cause of seizures in patients with refractory epilepsy. Brain imaging using high‐resolution focused protocols with standard head coils may not provide sufficient image quality needed for evaluating subtle cortical abnormalities. The authors describe the use of a readily available shoulder coil placed over a specific area of the brain that has been clinically determined to enhance the signal to noise and resolution of the cortical surface. Delineating the cortical surface using a shoulder coil can help to detect subtle areas of cortical thickening, blurring of the gray‐white matter junction, or focally abnormal gyral and sulcal patterns.

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