Early onset of tics. Patient has complex motor tics and speech and fine motor delay. Brain parenchyma appears within normal limits. No parenchymal signal abnormality in the basal ganglia or elsewhere in the brain. No evidence of cortical dysplasia, gray matter heterotopia, or other findings to suggest a possible seizure focus. No intracranial mass or mass effect. Myelination is appropriate for age. No evidence of infarct or hemorrhage. Ventricles are within normal limits without evidence of hydrocephalus. No extra-axial collections. Borderline low cerebellar tonsils are incidentally noted but within normal limits for age; no evidence of Chiari I. Posterior fossa structures and craniocervical junction appear otherwise unremarkable. Bone marrow signal is within normal limits. Extracranial soft tissues are unremarkable.
Brain MRI examination is within normal limits for age.