Patient
9 year old male. No signs of motor functions problems or development concerns at all. Makes straight A’s every year, started school 1 year early. Plays sports very well. Has had “fibril seizures” – 4 in total spread out of the past 8 years.

Why?
An MRI was done because the patient said he had a headache later characterized by the doctor as a “Thunderclap headache” so the family doctor ordered EEG and MRI. Now we are being referred to Pediatric Neurologist.

The report, which was picked up from the MRI imaging facility, is retyped below. (excuse any spelling mistakes). I have numbered each “category” spoke of in the report section titled “FINDINGS” The Impression section below was identified on the report as “Impression”

Given that items 2, 4, 5, 6, 7, 8, 10, 11, 12, 13 seem to indicate “normal” things, I have no questions regarding these unless someone feels I should have any information about them, and I am certainly welcoming all information.

Items 1, 3 and 9, which are later identified in the impression section (not numbered the same) pose concerns to me and my wife. We will soon, however definitely not soon enough, see the only pediatric neurologist in the state.

As parents, we are overwhelmed with this information and seeking help in understanding what all this means. Certainly the Dr. will further explain, but we would like to know what we are up against in the mean time since it might be a while until we see the Doctor (we have no appointment yet, they said they will call on Monday, July 13th, 2009 to schedule one)

MRI FINDINGS:


1. There is an irregular globular shape of the marrow of the sphenoid portion of the spheno-occipital synchondrosis of the clivus. Given the patient’s age, this is likely irregular ossification. This marrow is minimally hyperintense on T2. Given the lack of significant marrow abnormality, this is likely age-related. A head CT with bone windows would be helpful to confirm and exclude the less likely possibility of a lesion such as fibrous dysplasia.

2. The midbrain and pons appear normal.

3. There is abnormal gliotic signal seen within the periventricular white matter adjacent to the posterior horns, right greater than left. There is ex vacuo enlargemement of the right posterior horn. This is consistent with non-acute leukomalacia possibly related to periventricular leukomalacia related to prematurity.

4. The temporal horns appear normal.

5. The hippocampus appears normal bilaterally.

6. There is no evidence of the mesial temporal sclerosis.

7. Optic chiasm appears normal.

8. Pituitary appears normal.

9. There is a midline posterior fossa cyst, which is isointense to the CSF on all sequences. The corpus callosum appears normal.

10. Colliculi plate and pineal gland appear normal.

11. Visualized intercerebral vasculature appears normal.

12. There is mild prominence of the nasopharyngeal adenoids.

13. There is no sinus opacification.


REPORT IMPRESSIONS INDICATED BY DOCTOR:
1. Posterior parietal periventricular leukomalacia, right greater than left.
2. Posterior fossa cyst
3. Irregular sphenoid portion of the clivus as described above.

Sorry, I don't have any first hand info for you.
I can give you a search tip if you haven't tried it yet.

If you highlight a medical term that you want info on - then right click
there should be a list of options that you can choose from
move down to one that says Search {Google or whatever your chosen search engine is} click that and it should open up a new page with the info listed for you.

hi sounds ok to me no acute cocerns sounds like only congenital abnormalities but if no problems no worries I guess the seizures if only happen when febrile (high temp) it could be due to the not fully developed properly brain or seizures can occur if there is any scar or abnormal tissue in the brain
My suggestion would be to ensure a proper diet nothing with or very limited with preservatives and no dairy and meat as meat and dairy are the most disease inducing diet we consume. dont let any abnormal cells get a chance to become cancerous limit cooked foods at the denatured state of the food can cause mutations in the genes. im a nurse not a dr but have been studying natuopathy and diet and diseases hope you can solve your questions with googling the results

what ages were the seizures? they are not common past 3/4 years....the "thunderclap" h/a.....makes me question migraine as well.....as far as the appt with the neuro goes, if you have flexibility with scheduling tell them to put you on a list to be called if they have a cancellation....did they mention the cerebellar tonsils at all?