convulsionsClinical question: seizures from right temporal lobeSigns and Symptoms: seizures from right temporal lobe he calvarium appears dolichocephalic with anterior convex to the towards the left. There is mild flattening of the skull base with retroflexion and superior migration of the odontoid process abutting the lower medulla/upper cervical cord.The hippocampi appear symmetric.The body of the corpus callosum is relatively thin.No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.Normal vascular flow voids are present in the distal carotid and vertebral arteries, the basilar artery and the proximal anterior, middle and posterior cerebral arteries as well as the internal cerebral veins and superior sagittal sinus.The 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 calvarium and skull base are dysmorphic.2.No convincing evidence for mesial temporal sclerosis is appreciated