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

被引：63
|
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.
引用
收藏
页码：1347 / 1350
页数：4
相关论文
共 50 条
  • [31] Transendoscopic Intraoperative Recording of Gelastic Seizures from a Hypothalamic Hamartoma
    Roberts, Colin M.
    Thompson, Eric M.
    Selden, Nathan R.
    PEDIATRIC NEUROSURGERY, 2011, 47 (02) : 147 - 151
  • [32] HYPOTHALAMIC HAMARTOMA ASSOCIATED WITH LEFT VESTIBULAR SCHWANNOMA PRESENTING WITH EPILEPSY-PSYCHOSIS AND GELASTIC SEIZURES: A CASE REPORT
    Al Hail, H.
    Al Moslamani, N.
    Alalamy, O.
    Maryisa, T.
    Sokrab, F.
    Osman, Y.
    Akhtar, N.
    Eleger, C.
    EPILEPSIA, 2009, 50 : 27 - 27
  • [33] Hypothalamic hamartoma presenting with gelastic seizures, generalized convulsions, and ictal psychosis
    Al-Hail, Hassan J.
    Sokrab, Tag-Eldin O.
    Al-Moslamani, Nasir J.
    Miyares, Francisco R.
    NEUROSCIENCES, 2010, 15 (01) : 43 - 45
  • [34] Association of morphological characteristics with precocious puberty and/or gelastic seizures in hypothalamic hamartoma
    Jung, H
    Probst, EN
    Hauffa, BP
    Partsch, CJ
    Dammann, O
    JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM, 2003, 88 (10): : 4590 - 4595
  • [35] The gelastic seizures-hypothalamic hamartoma syndrome: Facts, hypotheses, and perspectives
    Striano, Salvatore
    Santulli, Lia
    Ianniciello, Marta
    Ferretti, Marta
    Romanelli, Pantaleo
    Striano, Pasquale
    EPILEPSY & BEHAVIOR, 2012, 24 (01) : 7 - 13
  • [36] Adult-onset refractory epilepsy with hypothalamic hamartoma and no gelastic seizures successfully treated by stereotactic thermocoagulation: A case report
    Sone, Daichi
    Kaido, Takanobu
    Watanabe, Masako
    Murata, Yoshiko
    Taniguchi, Go
    Otsuki, Taisuke
    SEIZURE-EUROPEAN JOURNAL OF EPILEPSY, 2016, 37 : 32 - 34
  • [37] Clinical features and evolution of the gelastic seizures-hypothalamic hamartoma syndrome
    Striano, Salvatore
    Striano, Pasquale
    EPILEPSIA, 2017, 58 : 12 - 15
  • [38] Hypothalamic hamartoma causing gelastic seizures treated with stereotactic radiofrequency thermocoagulation
    Wang, Wei
    Wang, Weimin
    Guo, Xiaofei
    Zeng, Yanjun
    Jiang, Xiaodan
    EPILEPTIC DISORDERS, 2009, 11 (04) : 333 - 338
  • [39] Gelastic epilepsy and hypothalamic hamartoma
    Syamlal, S.
    Kunju, Mohammed
    INDIAN PEDIATRICS, 2006, 43 (05) : 454 - 455
  • [40] GELASTIC EPILEPSY AND HYPOTHALAMIC HAMARTOMA
    AMES, FR
    ENDERSTEIN, O
    SOUTH AFRICAN MEDICAL JOURNAL, 1980, 58 (04): : 163 - 165
12345