21 years, Male, GTC seizures, generalized discharges on EEG. Juvenile myoclonic epilepsy.. Brain parenchyma appears within normal limits for age. There are no findings to suggest a seizure focus. No cortical lesions or evidence of gray matter heterotopia. Bilateral hippocampi are symmetric in size and signal characteristics with preserved internal architecture. No intracranial mass or mass effect. No evidence of ischemia or hemorrhage. Ventricles and sulci are within normal limits. No extra-axial collections. No abnormal parenchymal or meningeal enhancement. There are mucous retention cysts in the bilateral maxillary, left frontal, and sphenoid sinuses. Bone marrow signal and extracranial soft tissues are otherwise within normal limits.
No findings to suggest seizure focus.