19 years, Female, with syncope and collapse along with dizziness. Vertiginous migraines with 3 episodes of loss of consciousness which are clinically concerning for seizure.. Evaluate for masses, vascular abnormalities, demyelinating lesions. Brain parenchyma is unremarkable for age. No parenchymal signal abnormality. No findings to suggest a seizure focus. Bilateral hippocampi appear unremarkable. No restricted diffusion to suggest acute ischemia. No intracranial hemorrhage. No intracranial mass or mass-effect. The ventricles are within normal limits in size and configuration. No abnormal parenchymal or meningeal enhancement. Major flow-voids are preserved.Sella and orbits are grossly within normal limits. Paranasal sinuses and mastoid cells are clear. Bone marrow signal and extracranial soft tissues are within normal limits.
MRI of the brain is within normal limits. Specifically, no evidence of mass, demyelinating lesion, or seizures focus. Dedicated MR angiogram was not obtained however the vasculature also appears grossly unremarkable.