Diagnosis: Other convulsionsClinical question: First time focal seizureSigns and Symptoms: focal seizureComments: Seizure 2 protocol | The CSF spaces are appropriate for the patient's stated age with no midline shift. There is mild pneumatization of the internal capsule as well as corpus callosum on the T1-weighted imaging. This is appropriate for 6 months age. Frontal lobe and temporal lobe subcortical white matter is not yet myelinated.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.
Myelination appears to be age-appropriate. There is no intracranial mass lesion that would account for the patient's seizures.