Diagnosis: Other convulsionsClinical question: Please evaluate for seizure focus or ischemic lesionSigns and Symptoms: Transient dysarthria and episodic anxiety after new onset GTC seizure 1 wk ago The CSF spaces are appropriate for the patient's stated age with no midline shift. Metallic artifact is present along the scalp.The temporal horn of the right lateral ventricle is slightly larger than the temporal horn of the left lateral ventricle. No signal abnormalities appreciated within the hippocampus. The right hippocampal head appears smaller than the left temporal headNo 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.The visualized portions of the paranasal sinuses are clear. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact.
The right hippocampal head is asymmetrically smaller than its left-sided counterpart. This is a nonspecific finding which may be of little clinical significance.