Detecting focal abnormalities in MRI examinations of children with epilepsy can be a challenging task given the frequently subtle appearance of cortical dysplasia, mesial temporal sclerosis and similar lesions. In this report, we demonstrate the utility of double inversion recovery MRI in the detection of paediatric epileptogenic abnormalities, promoted primarily by increased lesion conspicuity due to complementary suppression of both cerebrospinal fluid and normal white matter signal. INTRODUCTIONIdentifying structural abnormalities that correspond to an epileptogenic focus is frequently a challenging task with the available MRI imaging techniques.1 Advances in spatial and contrast resolution have made possible the detection of subtle findings in patients with epilepsy, particularly focal cortical dysplasia (FCD) in paediatric patients. Given the cortical location of these lesions and the associated blurring of the underlying white matter, an MRI sequence that highlights cortical and subcortical pathology and increases the conspicuity of abnormal white matter is naturally a suitable candidate to be successfully employed in this clinical scenario.

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