Case Notes
History
27 year old male with syncopal episode preceeded by dizziness. There is observed shaking and "eyes rolling back in head".Exam
MR diffusion
Prior Study
CT Head and noncontrast T1-w MR were not availablePost contrast T1-w MR
Negative post contrast head T1-w MR, other than moderate global atrophy (out of proportion to chronological age) and nonaggressive maxillary sinus inflammatory disorder.
T2-w MR
There is evidence of recent seizure activity affecting the right hippocampus. There is minimally increased T2 signal and effacement of the internal myelinated tracts, but with no apparent volume increase. Based on clinical symptoms, the MR findings fit best in the hyperacute post seizure timeline caused by a minimal depth and duration event.