Hi @crissyh76
For most people with epilepsy, the core workup is EEG + MRI. Additional exams depend on the epilepsy diagnosis and whether a pre-surgical evaluation is needed.
This is actually the first time I've come across small vessels in the brain being a concern. So I've done a little reading to learn more. From what I read, these vessels can sometimes be a contributing factor to seizures, though a neurologist will assess whether they are clinically significant or simply age-related findings that warrant monitoring over time.
That naturally leads me to wonder — has your neurologist commented on whether these small vessels are significant, and whether there might be a connection between your seizures and them? And was this your first MRI of this type, or have you had a previous one for comparison?
Chris