Evaluate for lesions in hypothalamus: Progressively worsening cataplexy and sleep paralysis x 6 months. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There is susceptibility effect in the bilateral globi pallidi. The brain parenchyma otherwise appears unremarkable. There is no abnormal intracranial enhancement. 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 are grossly unremarkable. There are secretions within the right frontal sinus.
1. No evidence of intracranial hemorrhage, mass, or acute infarct. In particular, the hypothalami appear unremarkable. 2. Nonspecific mineralization in the bilateral globi pallidi.