Reason: Please evaluate for temporal or mesial temporal seizure focus in patient with complex partial epilepsy and bilateral temporal discharges History: Complex partial seizures with head turn to right, stiffening, secondary generalization; language and social delays; active L>R temporal/occipital discharges Brain parenchyma appears within normal limits. No evidence of intracranial mass or mass effect. No findings to suggest cortical dysplasia, gray matter heterotopia, or other findings to suggest seizure focus. No diffusion abnormality or evidence of hemorrhage. Ventricles are normal in size. The hippocampi are symmetric bilaterally without atrophy, signal abnormality, or loss of internal architecture. The midline structures and posterior fossa structures appear within normal limits. The major cerebral flow voids are intact. Moderate mucosal thickening of the sphenoid and left maxillary sinus. Mild mucosal thickening of the left frontal, ethmoid and right maxillary sinus. Bone marrow signal and extracranial soft tissue structures are otherwise unremarkable.
No structural abnormalities to suggest possible seizure focus are appreciated. No findings to suggest mesial temporal sclerosis. 