Female, 2 years old, with transient left sided facial drooping and slurred speech. Evaluate for ADEM, mass, dissection. MRI brain:No evidence of focal signal abnormality, edema or mass effect is seen. No restricted diffusion is demonstrated. There is no pathologic intracranial enhancement. No findings to suggest acute intracranial hemorrhage or any abnormal extra-axial fluid collection are seen. The ventricles are normal in size and morphology. The brain development and pattern of white matter myelination are appropriate for age. The pituitary region is unremarkable. The brainstem, cerebellar vermis and cerebellar hemispheres are normally formed.MRA head:No evidence of significant vascular stenosis or occlusion is seen. No aneurysm or vascular malformation is detected. The ACOM artery is moderately sized and unremarkable. Moderately sized bilateral PCOM arteries are present. MRA neck:No significant vascular stenosis or occlusion is seen in the neck. No evidence of intramural hematoma or other findings to suggest dissection are seen.
Unremarkable MRI and MRA evaluations. No specific findings to account for the patient's symptoms.