Case Notes
History
32 year old male presenting with episode of staring and unresponsiveness. His head turned to the right and then he fell.Exam
Coronal turbo spine-echo MR T2-w and axal MR flair sequences
Prior Study
CT Head was not availableMR T1-w exam pre and post contrast
There developmental heterotopic gray matter in the posterior right frontal lobe.
Abnormal left hippocampus with evidence of post seizure hyperacute changes involving all portions of the left hippocampus.
There is abnormal contrast enhancement centered in the transition zone between the body and tail on the right. This could represent acute post seizure dysautoregulation, or could represent tissue necrosis; the differentiation is indeterminate based only on the post contrast T1-w sequence; correlate with the MR diffusion for evidence of water restriction.