Erschienen in:
02.07.2020 | Case Report - Functional Neurosurgery - Epilepsy
Magnetic resonance–guided focused ultrasound ablation of hypothalamic hamartoma as a disconnection surgery: a case report
verfasst von:
Toshio Yamaguchi, Tomokatu Hori, Hiroki Hori, Masahito Takasaki, Keiichi Abe, Takaomi Taira, Kenji Ishii, Kazuo Watanabe
Erschienen in:
Acta Neurochirurgica
|
Ausgabe 10/2020
Einloggen, um Zugang zu erhalten
Abstract
We report the case of a patient with hypothalamic hamartoma (HH) who was successfully treated with magnetic resonance–guided focused ultrasound (MRgFUS) for ablation as a disconnection surgery. A 26-year-old man with gelastic epilepsy had been diagnosed with HH at 3 years of age, and antiepileptic drugs were administered due to worsening episodes. Magnetic resonance imaging showed a sessile parahypothalamic hamartoma and MRgFUS ablation was performed, creating an oval-shaped lesion at the boundary area of the HH. Dramatic improvements in seizure symptoms were noted, and he was seizure-free on decreased antiepileptic drugs without any adverse events over the 1-year follow-up period.