Epilepsy is one of the most common neurologic conditions in the world and is of a major public health concern.Medial temporal lobe is the commonest source of intractable/refractory epilepsy. Magnetic Resonance has proved beyond doubt that it is the imaging modality in detecting Mesial temporal sclerosis(MTS) and hippocampal pathologies. We present 12 cases of MTS detected by MRI using conventional standard protocols.