Diagnosis: Other disturbances of skin sensationClinical question: Evaluate for etiology of R facial numbnessSigns and Symptoms: R facial numbness, acute onset The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal enhancing mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.Normal vascular flow voids are present in the distal carotid and vertebral arteries, the basilar artery and the proximal anterior, middle and posterior cerebral arteries as well as the internal cerebral veins and superior sagittal sinus.The visualized portions of the paranasal sinuses demonstrate some scattered opacities. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact.
MRI of the brain is within normal limits. There is no intracranial mass lesion or other explanation for the facial numbness. There is no evidence for acute ischemic cerebral infarction.