Diagnosis: Unspecified convulsionsClinical question: Seizure protocol 2Signs and Symptoms: new onset seizure The CSF spaces are appropriate for the patient's stated age with no midline shift. Incidental note is made of cavum septum pellucidum and cavum vergae.A small focus of encephalomalacia is present along the left inferior parietal lobule. Another smaller focus of encephalomalacia is present along the lateral aspect of the left precentral gyrus which is associated with a small focus of susceptibility effect..Normal vascular flow voids are present in the distal carotid and right 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 left vertebral artery is not readily identified intracranially. The left posterior inferior cerebellar artery is identified likely a very small left vertebral artery.The visualized portions of the paranasal sinuses demonstrate some mild mucosal thickening along the right maxillary sinus and frontal sinuses. The visualized portions of the mastoid air cells demonstrate some opacities in the right mastoid air cells. The visualized portions of the orbits are intact.
1.Foci of encephalomalacia are present along the left inferior parietal lobule as well as the lateral aspect of the left precentral gyrus.2.The left vertebral artery is not readily identified intracranially. It is suspected to be hypoplastic.