Episodes of hands trembling. The images are degraded by patient motion. There is no evidence of intracranial hemorrhage, mass, or acute infarct. The brainstem, posterior limbs of the internal capsules, and perirolandic regions demonstrate T1 hyperintensity. However, there is no appreciable T1 hyperintensity of the anterior limbs of the internal capsules. The pituitary gland appears unremarkable. 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 orbits, skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable.
No discernible seizure focus. However, the degree of white matter myelination appears to be somewhat delayed for the patient's age, assuming a term birth. 