The advent of MR imaging techniques has immensely improved the ability to e
valuate and manage patients with epilepsy. The principles of various MR tec
hniques, the pertinent MRI neuro-anatomic features, and computer based 3D r
econstruction post processing methods are discussed. Newer MR-based techniq
ues such as magnetic resonance spectroscopy (MRS) and diffusion weighted im
aging (DWI) and their applications and potential usefulness in the evaluati
on of patients with medically intractable epilepsy are also reviewed.