Diagnosis: Epilepsy, unspecified, not intractable, without status epilepticusClinical question: Evaluation of seizure focusSigns and Symptoms: staring spellsComments: Please perform with seizure II protocol | The CSF spaces are appropriate for the patient's stated age with no midline shift. The tip of the temporal horn of the right lateral ventricle is asymmetrically larger than the left. The right choroid fissure is also slightly larger than the left choroid fissure.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 are clear. The visualized portions of the orbits are intact.
No abnormal lesion is appreciated within the brain parenchyma to explain the patient's seizures. There is no convincing evidence for mesial temporal sclerosis. Some asymmetry in the size of the temporal horns of the lateral ventricles is a nonspecific finding and could very well just be variant of normal