Complex partial seizures starting with right face twitching, history of multiple sclerosis and ischemic stroke. There is extensive scattered periventricular and subcortical white matter T2 signal abnormality, as well as scattered posterior fossa signal abnormality, compatible with multiple sclerosis. There is no associated abnormal enhancement. There is no evidence of acute infarct or intracranial hemorrhage. There is mild global parenchymal volume loss. There is no midline shift or herniation. The major cerebral flow voids are intact. The orbits, skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable.
1.Extensive white matter lesions of multiple sclerosis, without evidence of current active demyelinating lesion.2.No evidence of acute infarct or intracranial hemorrhage.