Intractable epilepsy, frequent falls with seizure, genotype is consistent with Autosomal Dominant Nocturnal Frontal Lobe Epilepsy variant. There is no evidence of intracranial hemorrhage, mass, or acute infarct. The brain parenchyma and pituitary gland appear unremarkable. In particular, the hippocampal formations are intact and there is no evidence of heterotopia. 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, paranasal sinuses, and scalp soft tissues are grossly unremarkable.
No discernible seizure focus. A brain PET may be useful for further evaluation.