Syncope and collapse. Suspicion of seizure-like activity. There are a few punctate T2 FLAIR hyperintense lesions, and scattered in the subcortical white-matter. There is no associated abnormal contrast enhancement or diffusion restriction. There is no acute infarct or mass. There is no mass-effect, midline shift or brain herniation. The ventricles and the other CSF-containing spaces are normal in size. Major intracranial vascular flow voids are preserved. The skull, scalp, and orbits are grossly unremarkable. Partially empty sella has not changed since the previous examination.
Scattered subcortical punctate T2/FLAIR-hyperintense lesions. Similar lesions have been described in patients with migraine. The lesion are otherwise are nonspecific. There is no other intracranial abnormality.