Reason: 2 y/o with hemophilia , new onset seizures, r/o tumor vs structural cause History: new onset seizures Exam slightly limited by patient motion.The brain parenchyma appears unremarkable. 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 hippocampi are symmetric bilaterally without abnormal signal or atrophy. No heterotopic gray matter or cortical abnormalities. Normal myelination for age. Midline structures are normal. The major cerebral flow voids are intact. The orbits, skull and scalp soft tissues are grossly unremarkable. The paranasal sinuses are unremarkable.
MRI of the brain appears within normal limits without evidence of structural mass or other abnormality to suggest seizure focus. If there is continued suspicion for a structural abnormality, high-resolution imaging with epilepsy protocol may be considered. 