23-year-old male presents with seizures and bilateral interictal discharges, evaluate for underlying structural abnormality. History of alcoholism. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There are mildly prominent perivascular spaces in the anterior left temporal lobe. The brain parenchyma otherwise appears unremarkable. In particular, the hippocampi are intact and there is no evidence of heterotopia. The ventricles and basal cisterns are normal in size and configuration. However, there appears to be mild diffuse cerebellar volume loss. There is no midline shift or herniation. The major cerebral flow voids are intact. The orbits, skull, and scalp soft tissues are grossly unremarkable. There is a right anterior ethmoid sinus retention cyst.
1. No evidence of potential seizure foci.2. Diffuse cerebellar volume loss, which may be related to antiepileptic medication and/or alcohol.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.