Reason: dystonic reaction vs seizure History: as above There is no evidence of intracranial hemorrhage, mass or diffusion restriction.There are scattered punctate periventricular and subcortical T2 hyperintensities without diffusion restriction. Similarly there are punctate T2 and FLAIR hyperintense lesions in the left thalamus and pons.A cavum septum pellucidum and vergae are noted. The ventricles and sulci are prominent suggesting mild age-related volume loss. There is no midline shift or herniation. The major cerebral flow voids are intact. The orbits, skull and scalp soft tissues are grossly unremarkable. The paranasal sinuses are unremarkable.
1.No findings to explain patient's seizures.2.Periventricular and subcortical white matter changes of a moderate degree as well as several punctate lesions in the brainstem and left thalamus are nonspecific. At this age they are most likely vascular related. 