Diagnosis: Other convulsionsClinical question: Evaluate for etiology of seizuresSigns and Symptoms: R and L temporal lobe seizuresComments: Please perform Friday 7/18/2015 after the EEG leads have been discontinued - Seizure 2 protocol with coronal FLAIR | The CSF spaces are appropriate for the patient's stated age with no midline shift. There are a several periventricular and subcortical punctate hyperintense white matter lesions present identified on the FLAIR and T2 images.No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.The hippocampi are symmetric with no signal abnormality.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.Incidental note is made of partial empty sella.
1.Several periventricular and subcortical white matter punctate signal changes are nonspecific and likely of little clinical significance given their small number.2.No evidence for mesial temporal sclerosis.