Please evaluate for seizure focus such as old stroke, dysplasia, or tumor: Tonic seizure with left parietal/occipital interictals. There are a few prominent perivascular spaces in the bilateral parietal lobes. The brain parenchyma otherwise appears unremarkable, without evidence of prior infarction, hemorrhage, mass, medial temporal sclerosis, hamartomas, or heterotopias. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are intact. The orbits, skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable.
No evidence of gross seizure foci.