Epilepsy, unspecified, not intractable, without status epilepticus [G40.909], Reason for Study: ^Reason: seizure 2 protocol History: seizures The right inferior aspect of temporal lobe shows significant tissue loss. In particular, the right hippocampus head and body tissue losses are significant. The right hippocampal tail and right lingular gyrus appear to be within normal limits. There is also right superior, middle and inferior temporal gyri tissue loss especially anterior aspect.There is extra dural fluid collections on the inferior aspect of right temporal lobe anterior aspect [10.7mm (CC) x 24.4mm (RL) x 30.3mm (AP)]. There is focal encephalomalacia at the left occipital lobe especially distal aspect of the left intra-occipital sulcus.Multiple scattered periventricular white matter FLAIR/T2 high signal intensity lesions indicating non specific small vessel ischemic disease.The ventricles, sulci and cisterns are unremarkable. The gray-white matter differentiation is normal. There is no mass, mass effect, edema, midline shift, or restricted diffusion/acute ischemia. The midline structures and cranial-cervical junction are normal. The mastoid air cells are clear.Mucosal thickenings on bilateral ethmoid and frontal sinuses.
1. Extensive tissue losses on the anterior aspect of the right temporal lobe including right hippocampal head, body as well as superior, middle and inferior temporal gyri. 2. Infratemporal extra dural fluid collection on the right middle cranial fossa [10.7mm (CC) x 24.4mm (RL) x 30.3mm (AP)]3. Left occipital lobe tissue loss adjacent to distal left intraoccipital sulcus.4. No evidence of acute ischemic or hemorrhagic lesion.