Diagnosis: Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with complex partial seizures, not intractable, without status epilepticusClinical question: h/o epilepsy s/p laser ablationSigns and Symptoms: surveillance of ablated area The CSF spaces are appropriate for the patient's stated age with no midline shift. There is a focus of heterogeneous signal abnormality located in the right hippocampus which is associated with a ringlike pattern of susceptibility effect.There are linear foci of susceptibility effect along tracts of the previously placed electrodes coursing through the right occipital lobe and right lateral ventricle as well as through the right temporal lobe.. There are associated burr holes at the entry point of these probes.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.
1.A focus of ablation is present in the right hippocampus.2.There are expected post treatment changes present as detailed above.