Diagnosis: Epilepsy, unspecified, not intractable, without status epilepticusClinical question: is there a focal abnormality, especially in left fronto-temporal area?Signs and Symptoms: seizures The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.Normal vascular flow voids are present in the distal carotid and 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. There is fetal origin of the posterior cerebral arteries.The visualized portions of the paranasal sinuses demonstrate mucous retention cysts. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact.
MRI of the brain is within normal limits. There is no evidence for a seizure focus in the left frontal or temporal lobes.