Episodic symptoms of sudden behavioral change for the past 2 years with acute worsening following febrile illness. Brain parenchyma appears within normal limits. No parenchymal signal abnormality, intracranial mass, or mass effect is appreciated. Hippocampi appear grossly normal. No abnormal parenchymal or meningeal enhancement. No evidence of infarct or hemorrhage. No extra-axial collections. Ventricles are normal in size. The major cerebral flow voids are intact. There is susceptibility artifact centered in the right side of the oral cavity, probably related to dental hardware. There is moderate left maxillary mucosal thickening. Remainder of the calvarium and extracranial soft tissues are unremarkable.
1. MRI of the brain appears within normal limits. 2.Specifically, no appreciable abnormality involving the temporal lobes including the hippocampi. If there remains clinical suspicion for possibility of a small epileptogenic focus, high resolution imaging per seizure protocol, perhaps with sedation, may be considered.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.