bilateral sensorineural hearing loss, developmental delay, and OSA, presenting with a shaking episode. There are multiple scattered foci of T2 hyperintensity in the bilateral cerebral white matter, predominantly in periventricular and subcortical distributions. There is no evidence of intracranial hemorrhage, mass, or acute infarct. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are intact. The orbits, skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable.
Multiple scattered foci of T2 hyperintensity in the bilateral cerebral white matter are nonspecific, but may represent a sequela of prior ischemia, a demyelinating process, sequela of prior infection, or vasculitis process, for example. Otherwise, no evidence of acute intracranial hemorrhage, mass, or acute infarct.