Could you please explian my kid's report for me?Mant thanks

[purplepurple]

My kid was diagnose as Benign Rolaindic Epilepsy at age of 6 when he had one seizure before went to sleep. He did EEG test only and the doctor made the conclusion.
5 years after, which is last month, when we were having supper, he had one seizure again.It last about one minute. This time, the emergency asked MRI to be performed. He did regualr MRI and the contrast one.  

I actually talked to the MRI doctor when I was called to do the contrast  test. I was terrified and cried. Then I rushed to children's hospital and begged to see hthe doctor. Then he told me that he found a 2mm area signal increase but shouldn't be tumor so I don't need worry and over reaction. Here is the report.

Can you please explain it to me what it is. We are in Canada. The waiting timwe to see a specialiast is always very long. Our appointment to see the neurologist specialist will be end of the month. But as a mom, I really really want to know it the earlier the better. MANY THANKS!!

.

No definite intracranial abormality is seen,

2mm in diameter punctuate t2 signal increase in the right frontal subcortical white matter without contrast enhancement
whcih is nonspecific. Radiological findings most likely in keeping with atypical perivascular space. However, early neoplastic process cannot rule out. If clinically needed followup MR suggested.

[purplepurple]

Thank you for your deatiled explanation.. He does not take medication since last time it occured 5 years ago and this is the second time, so at that time the doctor saisd he does not need it.

[Dr. Kokil Mathur]

Hi!
I can understand your worries. Since the lesion in MRI did not enhance with contrast it is unlikely to be a tumor or even a MS lesion. The radiologist is thinking in terms of an abnormal space near a ventricle (CSF filled space in brain). This could be the focus of the epileptic seizures. Nothing is usually done to treat the lesion. Please continue your son’s medications as usual. The doctor may go for another EEG and MRA to get the complete picture. Some dose adjustment of your son’s medications may be required. This happens at times as children grow. Hope this eases your mind until you can consult the specialist. Take care!

The medical advice given should not be considered a substitute for medical care provided by a doctor who can examine you. The advice may not be completely correct for you as the doctor cannot examine you and does not know your complete medical history. Hence this reply to your post should only be considered as a guiding line and you must consult your doctor at the earliest for your medical problem.