Diagnosis: Localization-related (focal) (partial) epilepsy and epileptic syndromes with complex partial seizures, without mention of intractable epilepsy.Clinical question: Evaluate for cortical dysplasiaSigns and Symptoms: localization-related epilepsy; DiGeorge SyndromeComments: Please perform with Seizure II protocol. May try without sedation first. The CSF spaces are appropriate for the patient's stated age with no midline shift. There is a mild degree of periventricular and subcortical punctate hyperintense white matter lesions present identified on the FLAIR and T2 images at the left frontal lobe.The hippocampi are symmetric in size. The temporal horn of the right lateral ventricle is slightly larger than the left. There is no convincing evidence for mesial temporal sclerosis present.No abnormal 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 demonstrates mucosal thickening in the right sphenoid sinus. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact.
1.Some punctate subcortical lesions along the left frontal lobe are non-specific.2.There is no convincing evidence for mesial temporal sclerosis present.