Clinical question: Epilepsy protocol 2. Evaluate for hippocampal sclerosis. Signs and symptoms: Epilepsy since 1992. Nonenhanced brain MRI:Examination demonstrate very few punctate size post left hyperintensity on the in the subcortical white matter of cerebral hemispheres.The signal intensity of brain parenchyma is otherwise within normal on all MRI sequences. In particular there is no evidence of signal or morphological abnormality of the hippocampal region.Unremarkable cerebral cortex, cortical sulci, ventricular system and the CSF spaces for age.Normal visualization of the signal void of major intracranial arterial branches.Normal signal intensity of intracranial venous sinuses.Unremarkable calvarium, soft tissues of the scalp, orbits, paranasal sinuses and mastoid air cells.
Nonenhanced brain MRI is within normal limits for patient's stated age. Very few nonspecific punctate foci of flair hyperintensity only in the subcortical white matter of cerebral hemispheres are identified.