Epilepsy. Weekly convulsive seizures. There is severe artifact related to braces obscuring especially the inferior frontal lobes and anterior part of the temporal lobes. It also renders the diffusion weighted and gradient echo/susceptibility weighted sequences nondiagnostic.Accounting for the artifact, there is no signal abnormality in the brain to suggest seizure focus. There is no mass or mass effect. The CSF-containing spaces, accounting for lateral ventricular asymmetry, are normal in size. There are no findings to suggest cortical malformation or gray matter heterotopia. There is also no signal or morphologic abnormality in the hippocampi to suggest mesial temporal sclerosis. Following contrast injection, there is no abnormal parenchymal or leptomeningeal enhancement.
Examination is significantly limited by artifact related to dental braces. No findings to suggest seizure focus are appreciated. No evidence of mesial temporal sclerosis.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.