Convulsions starting few months ago. There is no evidence of grey matter heterotopia, mesial temporal sclerosis, intracranial hemorrhage, mass, or acute infarct. The brain, brainstem, and cerebellum appear unremarkable. There is no abnormal intracranial enhancement. There is a partially-empty sella and perhaps flattening of the bilateral optic nerve discs. 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. The skull and scalp soft tissues are grossly unremarkable. There are minimal secretions in a left anterior ethmoid air cell.
1. No discernible evidence of potential seizure foci.2. A partially-empty sella and perhaps flattening of the optic nerve discs may represent idiopathic intracranial hypertension. 