Erschienen in:
01.04.2009 | Review Paper
A review on the management of epilepsy associated with hypothalamic hamartomas
verfasst von:
James L. Frazier, C. Rory Goodwin, Edward S. Ahn, George I. Jallo
Erschienen in:
Child's Nervous System
|
Ausgabe 4/2009
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Abstract
Introduction
Hypothalamic hamartomas are rare congenital malformations located in the region of the tuber cinereum and third ventricle. Patients may be asymptomatic, but the usual presentation is gelastic seizures, precocious puberty, and/or developmental delay.
Clinical presentation
Without surgical intervention, the gelastic seizures, which are typically present in childhood, may progress to other seizure types, including generalized epilepsy, and are generally refractory to antiepileptic drugs.
Summary
This review will discuss the clinical and electrophysiologic aspects of these lesions, as well as treatment options, including surgery, endoscopy, and radiosurgery.