Patient's question:
After cranial MRI scan, imaging findings:T2W bilateral parietal lobe white matter hyperintensity, symmetrical small patchy slightly high signal in bilateral globus pallidus, no abnormal signals seen in the rest of the cerebral parenchyma. Normal sulci and gyri in each lobe of the cerebral hemisphere. Normal-sized lateral ventricles, no abnormalities seen in the rest of the ventricular system. Widened subarachnoid spaces in bilateral frontal and temporal lobes, more pronounced on the left; no widening seen in the other cisterns and subarachnoid spaces. No abnormalities seen in the cerebellum or brainstem. Midline structures show no displacement. Pituitary Rathke's cleft.
Impression:
Slightly delayed myelination
Symmetrical small patchy slightly high signal in bilateral globus pallidus
Normal-sized bilateral ventricles, widened subarachnoid spaces in bilateral frontal and temporal lobes
Pituitary Rathke's cleft
Doctor's answer:
It may be caused by epilepsy, and tests such as an electroencephalogram (EEG) and brain CT are needed. Medications such as phenobarbital, diazepam, and sodium amobarbital should be taken orally. If the effect is not good, minimally invasive surgery should be performed at the hospital. Generally, Western medicine should not be arbitrarily changed, discontinued, or stopped. Only after the epilepsy has been completely controlled for 2-3 years and the EEG is normal can the dosage be gradually reduced and the medication stopped.