 MRI BRAIN: There is no diffusion abnormality. No intracranial mass or mass effect. The ventricles and sulci are within normal limits for age. No extra-axial fluid collection is identified. Normal flow-voids are demonstrated in the major intracranial vascular structures. The midline structures and craniocervical junction are within normal limits.MRA Brain: The intracranial internal carotid arteries demonstrate no significant stenosis. The middle and anterior cerebral arteries are also patent. The vertebral arteries, basilar artery, and posterior cerebral arteries also are patent with no significant stenosis. No evidence of aneurysms or vascular malformations. There is developmental variant small left and nonvisualized right posterior communicating arteries. There is a small bulge from the origin of the left posterior communicating artery which is either infundibulum or artifact.MRA NECK: There is a separate origin of the left subclavian artery, left common carotid artery, and brachiocephalic artery from the arch. The common carotid arteries and cervical internal carotid arteries are normal in course and caliber. Both vertebral artery origins are patent. There is no evidence of stenosis or occlusion.
1.No evidence of acute infarct or brain parenchymal abnormalities to explain the seizures.2.No abnormalities of the vasculature of the brain or neck.