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Gelastic seizures treated by resection of a hypothalamic hamartoma

✍ Scribed by Helio R. Machado; Harold J. Hoffman; Paul A. Hwang

Publisher: Springer
Year: 1991
Tongue: English
Weight: 581 KB
Volume: 7
Category: Article
ISSN: 0256-7040
DOI: 10.1007/bf00263190

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✦ Synopsis

A 7-year-old girl presented for evaluation of a peculiar kind of epilepsy. Her seizures began before 1 year of age and consisted of episodes of brief, uncontrolled and unprovoked laughter than with time progressed to include cursive, complex partial and generalized tonic-clonic seizures. Progressive impairment of cognitive functions was noted as well as precocious puberty. Neuroimaging examination disclosed a hypothalamic hamartoma. It was excised by a pterional approach, and no further seizures were noted. The authors propose direct surgery for the hypothalamic hamartoma as a treatment for this progressive syndrome.

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