Diagnosis: Other convulsionsClinical question: SeizureSigns and Symptoms: Seizure recurrent The CSF spaces are appropriate for the patient's stated age with no midline shift. The patient is status post right frontal ventriculostomy tube placement for shunt. The tip of the catheter is in the frontal horn of the right lateral ventricle. The right lateral ventricle is smaller than the left lateral ventricle.The cerebellum is atrophic. Small foci of susceptibility effect are present along the periventricular areas adjacent fourth ventricle. There is encephalomalacia present along the medial aspects of the cerebellar hemispheres.No abnormal enhancing mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.Normal 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.
1.Cerebellar atrophy associated with some encephalomalacia medially within the cerebellum.2.Status post ventriculostomy tube placement without evidence for ventriculomegaly on the current exam.