25-year-old female with seizures/epilepsy since 2012 with new onset headaches and neck pain since April 2016. Brain MRI:There is no evidence of intracranial hemorrhage, mass, or acute infarct. No pathologic enhancement is seen. The brain parenchyma appears within normal limits. No findings to suggest seizure focus are appreciated. Specifically, there is no evidence of gray matter heterotopia or cortical dysplasia. The bilateral hippocampi are symmetric in size, signal characteristics, and with preserved internal architecture. 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. There is mild maxillary sinus mucosal thickening with a small amount of dependent fluid which could indicate sinusitis. The orbits, skull and scalp soft tissues are grossly unremarkable.C-Spine MRI:The craniovertebral junction appears within normal limits. There is slight straightening of the cervical spine nonspecific. The cervical vertebral bodies and disc spaces are appropriate in height. The bone marrow signal is within normal limits. The cervical spinal cord has normal signal characteristics and overall morphology. No significant spinal canal or foraminal stenosis is seen. Paraspinous soft tissue structures appear within normal limits.
No findings to suggest seizure focus or cause of the headache/neck pain are appreciated.