Stereotaxy for hypothalamic hamartoma with intractable gelastic seizures: Technical case report

被引：65
作者：
Fukuda, M
Kameyama, S
Wachi, M
Tanaka, R
机构：
[1] Natl Nishi Niigata Chuo Hosp, Dept Neurosurg, Niigata 9502085, Japan
[2] Natl Nishi Niigata Chuo Hosp, Epilepsy Ctr, Niigata 9502085, Japan
[3] Niigata Univ, Brain Res Inst, Dept Neurosurg, Niigata 95021, Japan
来源：
NEUROSURGERY | 1999年 / 44卷 / 06期
关键词：
depth electrode; gelastic seizure; hypothalamic hamartoma; radiofrequency thermocoagulation; stereotaxy;
D O I：
10.1097/00006123-199906000-00115
中图分类号：
R74 [神经病学与精神病学];
学科分类号：
摘要：
OBJECTIVE AND CLINICAL IMPORTANCE: We report a patient with a hypothalamic hamartoma treated by stereotactic radiofrequency thermocoagulation. CLINICAL PRESENTATION: A 15-year-old girl presented with a hypothalamic hamartoma associated with intractable gelastic and tonic seizures. There were no clinical signs of precocious puberty. Magnetic resonance imaging revealed an isointense suprasellar mass, about 1 cm in diameter. TECHNIQUE: A depth electrode was placed into the hamartoma using a computed tomography-compatible stereotactic frame. Depth electroencephalographic studies allowed us to record the seizure onset from the lesion, and stereotactic radiofrequency thermocoagulation produced seizure remission. CONCLUSION: These findings suggest that hypothalamic hamartoma itself has intrinsic epileptogenicity. We believe that this surgical treatment is effective for the relatively small hypothalamic hamartoma associated with intractable gelastic seizures.
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收藏
页码：1347 / 1350
页数：4
相关论文
共 13 条
[1]   Subsidence of seizure induced by stereotactic radiation in a patient with hypothalamic hamartoma - Case report [J].
Arita, K ;
Kurisu, K ;
Iida, K ;
Hanaya, R ;
Akimitsu, T ;
Hibino, S ;
Pant, B ;
Hamasaki, M ;
Shinagawa, S .
JOURNAL OF NEUROSURGERY, 1998, 89 (04) :645-648
[2]  
Berkovic SF, 1997, EPILEPSIA, V38, P1
[3]   GELASTIC SEIZURES AND HYPOTHALAMIC HAMARTOMAS - EVALUATION OF PATIENTS UNDERGOING CHRONIC INTRACRANIAL EEG MONITORING AND OUTCOME OF SURGICAL-TREATMENT [J].
CASCINO, GD ;
ANDERMANN, F ;
BERKOVIC, SF ;
KUZNIECKY, RI ;
SHARBROUGH, FW ;
KEENE, DL ;
BLADIN, PF ;
KELLY, PJ ;
OLIVIER, A ;
FEINDEL, W .
NEUROLOGY, 1993, 43 (04) :747-750
[4]  
Kahane P., 1994, EPILEPSIES, V6, P259
[5]   Intrinsic epileptogenesis of hypothalamic hamartomas in gelastic epilepsy [J].
Kuzniecky, R ;
Guthrie, B ;
Mountz, J ;
Bebin, M ;
Faught, E ;
Gilliam, F ;
Liu, HG .
ANNALS OF NEUROLOGY, 1997, 42 (01) :60-67
[6]   GELASTIC SEIZURES TREATED BY RESECTION OF A HYPOTHALAMIC HAMARTOMA [J].
MACHADO, HR ;
HOFFMAN, HJ ;
HWANG, PA .
CHILDS NERVOUS SYSTEM, 1991, 7 (08) :462-465
[7]   ROLE OF THE HYPOTHALAMIC HAMARTOMA IN THE GENESIS OF GELASTIC FITS (A VIDEO-STEREO-EEG STUDY) [J].
MUNARI, C ;
KAHANE, P ;
FRANCIONE, S ;
HOFFMANN, D ;
TASSI, L ;
CUSMAI, R ;
VIGEVANO, F ;
PASQUIER, B ;
BETTI, OO .
ELECTROENCEPHALOGRAPHY AND CLINICAL NEUROPHYSIOLOGY, 1995, 95 (03) :154-160
[8]   SURGICAL-TREATMENT OF INTRACTABLE SEIZURES DUE TO HYPOTHALAMIC HAMARTOMA [J].
NISHIO, S ;
MORIOKA, T ;
FUKUI, M ;
GOTO, Y .
EPILEPSIA, 1994, 35 (03) :514-519
[9]   INTRINSIC EPILEPTOGENICITY OF HUMAN DYSPLASTIC CORTEX AS SUGGESTED BY CORTICOGRAPHY AND SURGICAL RESULTS [J].
PALMINI, A ;
GAMBARDELLA, A ;
ANDERMANN, F ;
DUBEAU, F ;
DACOSTA, JC ;
OLIVIER, A ;
TAMPIERI, D ;
GLOOR, P ;
QUESNEY, F ;
ANDERMANN, E ;
PAGLIOLI, E ;
PAGLIOLINETO, E ;
COUTINHO, L ;
LEBLANC, R ;
KIM, HI .
ANNALS OF NEUROLOGY, 1995, 37 (04) :476-487
[10]   Stereotactic volumetric radiofrequency lesioning of intracranial structures for control of intractable seizures [J].
Patil, AA ;
Andrews, R ;
Torkelson, R .
STEREOTACTIC AND FUNCTIONAL NEUROSURGERY, 1995, 64 (03) :123-133
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