Non suppressible leg shaking, change in sensation and subsequent numbness occurring at night several times a month. There is perhaps mild volume loss and T2 hyperintensity in the left hippocampus. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There is no abnormal intracranial enhancement. 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, and scalp soft tissues are grossly unremarkable. There is scattered paranasal sinus mucosal thickening.
Possible left medial temporal sclerosis.