Diagnosis: Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with complex partial seizures, intractable, without status epilepticusClinical question: epilepsySigns and Symptoms: seizuresComments: Pre op laser fiber | Since the prior exam the patient has undergone depth electrode placement and right-sided burr hole placement. One probe extends to the right parietal bone the brain parenchyma with tip along the medial aspect of the right temporal lobe another three course through the right temporal lobe medially with the tips along the medial aspect of the right temporal lobe. There is associated scalp soft tissue swelling present.There is T2 hyperintense signal present along the posterior aspect of the right subcentral lobule. This was not present on the prior exam.There is intracranial air present on the current exam as well as more subdural fluid.No abnormal foci of enhancement are appreciated within the brain parenchymaThe visualized portions of the paranasal sinuses are clear. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact.
1.The patient status post recent multiple depth electrode placement with associated postoperative change. 2.Some new edema is present along the posterior aspect of the right subcentral lobule