Reason: Please evaluate for seizure focus History: Electrographic status epilepticus in sleep resulting in cognitive decline, right parietal/occipital interictals The brain parenchyma appears unremarkable. No heterotopic gray matter, cortical dysplasia or other findings to suggest seizure focus. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. There is no evidence of intracranial hemorrhage, mass, or acute infarct. Midline structures are intact. Hippocampi are symmetric without evidence of atrophy or abnormal signal. The major cerebral flow voids are intact. Bone marrow signal and extra cranial soft tissues are unremarkable.
No structural lesion to suggest seizure focus is appreciated.