Diagnosis: Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with complex partial seizures, intractable, with status epilepticusClinical question: eval for new infarctSigns and Symptoms: altered mental status There is redemonstration of recent bilateral transoccipital and left transfrontal electrode placement. There is soft tissue swelling adjacent ot the occipital bones and left frontal bone. There is FLAIR signal hyperintensity within the occipital lobes adjacent to the electrodes at the cortical surface. Overall there is no interval change.No foci of diffusion restriction are appreciated.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.
1.Status post recent left transfrontal and bilateral transoccipital electrode placement. There are associated post surgical changes redemonstrated.2.No evidence for acute ischemic cerebral infarction.