Female, 11 years old, with episodic pain in the bilateral lower legs and bilateral forearms preceded by abnormal smell sensation. Evaluate for structural cause of bilateral upper and lower extremity episodic pain. Brain:The morphology and signal characteristics of the brain are within normal limits. No evidence of focal signal abnormality, edema or restricted diffusion is seen. No migrational anomalies are detected. On postcontrast imaging, there is no pathologic parenchymal or extra-axial enhancement. No evidence of intracranial hemorrhage or any abnormal extra axial fluid collection is seen. Ventricular size and morphology are within normal limits.C-spine:Spinal alignment is anatomic. Vertebral body height and morphology are within normal limits. Marrow signal characteristics are unremarkable. No pathologic enhancement is seen. The visualized spinal cord shows normal signal intensity and morphology and is likewise free of pathologic enhancement. No epidural lesions are detected. The intervertebral discs are preserved. No compromise of the spinal canal or neural foramina is seen.
Unremarkable evaluation of the brain and cervical spine with no findings to account for the patient's symptoms.