Diagnosis: Other convulsions.Clinical question: r/o structural diseaseSigns and Symptoms: seizures like activity The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal 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 are clear. The visualized portions of the mastoid air cells demonstrate partial opacification of the right mastoid air cells. The visualized portions of the orbits are intact.
1.No evidence for intracranial mass lesion or infarction or hemorrhage to explain the patient's seizure. MRI of the brain is within normal limits2.Opacification of right mastoid air cells and middle ear is a nonspecific finding and could be inflammatory related.3.Exam did not include all the pulse sequences normally performed for MRI of the brain for seizures (based on patient's inability to complete all sequences). As a result subtle lesions such as cortical dysplasia may not be identified.