Diagnosis: Migraine, unspecified, without mention of intractable migraine without mention of status migrainosus. Other convulsionsClinical question: Headache and history of seizures, evaluate for structural abnormalitySigns and Symptoms: New onset headaches, history of seizures The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal enhancing mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.Incidental note is made of a developmental venous anomaly in the left orbital gyrus.The hippocampi are symmetric bilaterally without signal abnormality or abnormal enhancementNormal 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.
No abnormal mass lesions are appreciated intracranially to account for the patient's seizures. There is a developmental venous anomaly in the left frontal lobe which is an incidental finding