Unspecified convulsions [R56.9], Reason for Study: ^Reason: seizure like activity History: as above There are symmetrically increased signal intensity on bilateral mesial hippocampus on FLAIR and T2 images. However, estimated volume of bilateral hippocampus appear to be within normal limits.These findings may suggest possible bilateral hippocampal sclerosisNo evidence of acute ischemic or hemorrhagic lesion.There are multiple scattered high signal intensity on FLAIR/T2 weighted image on bilateral periventricular white matter right frontal operculum right subluxation of the cortex white matter indicating nonspecific chronic ischemic lesions.The ventricles, sulci and cisterns are symmetric and unremarkable. There is no mass, mass effect, edema, midline shift, intra or extra-axial fluid collection/hemorrhage, or restricted diffusion/acute ischemia. The midline structures and cranial-cervical junction are normal. Normal flow voids are identified in the major intracranial vessels. The paranasal sinuses and mastoid air cells are clear.
1. Increased signal intensity of bilateral hippocampus on FLAIR/T2 images without volume loss, may suggest possible bilateral hippocampal sclerosis.2. No evidence of acute ischemic or hemorrhagic lesion.3. Nonspecific chronic ischemic lesions as described above