Evaluate for lesions in hypothalamus: Progressively worsening cataplexy and sleep paralysis x 6 months. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There is susceptibility effect in the bilateral globi pallidi. There is encephalomalacia in the anterior right frontal lobe. Thre is minimal periventricular white matter T2 hyperintensity. 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 are grossly unremarkable. There are secretions within the right frontal sinus.
1. No evidence of intracranial hemorrhage, mass, or acute infarct. In particular, the hypothalami appear unremarkable. 2. Encephalomalacia in the anterior right frontal lobe may be related to prior trauma.3. Nonspecific mineralization in the bilateral globi pallidi.4. Secretions within the right frontal sinus may represent acute sinusitis.