Clinical question: Seizure activity. Signs and symptoms: Seizure activity. No evidence of hemorrhage, edema, mass effect, midline shift or hydrocephalus is noted. Diffuse patchy areas of periventricular and subcortical low attenuation are nonspecific however in the presence of risk factors of diabetes, hypertension and hyperlipidemia he may represent advanced to small vessel disease of indeterminate age. Follow-up with an MRI is recommended. Calvarium, paranasal sinuses and mastoid air cells are unremarkable.
Findings concerning for advanced to small vessel disease.