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Endoscopic disconnection for hypothalamic hamartoma with intractable seizure - Report of four cases

Authors
 Jong Hee Chang  ;  Joong-Uhn Choi  ;  Dong-Seok Kim  ;  Byung-In Lee  ;  Jin Woo Chang  ;  Tae-Gon Kim  ;  Kook-Hee Yang 
Citation
 JOURNAL OF NEUROSURGERY, Vol.100(5) : 506-511, 2004 
Journal Title
JOURNAL OF NEUROSURGERY
ISSN
 0022-3085 
Issue Date
2004
MeSH
Child ; Electroencephalography ; Endoscopy* ; Epilepsies, Partial/etiology ; Epilepsies, Partial/surgery* ; Female ; Hamartoma/complications ; Hamartoma/surgery* ; Humans ; HypothalamicDiseases/complications ; HypothalamicDiseases/surgery* ; Hypothalamus/surgery ; Magnetic Resonance Imaging ; Male ; Tomography, Emission-Computed, Single-Photon
Keywords
hypothalamic hamartoma ; gelastic seizure ; endoscopy ; pediatric neurosurgery
Abstract
Although intractable epilepsy associated with hypothalamic hamartoma (HH) can be controlled by microsurgical resection of the lesion, excision of deep-seated lesions is often associated with morbidity and mortality. Endoscopic disconnection is less invasive and seems to be well suited for this indication. The authors discuss the role of endoscopic-assisted surgery in the management of HH-induced seizures. Four patients with HH-related intractable gelastic seizure underwent endoscopic disconnection surgery. Postoperatively, all patients exhibited improvement. Two patients became seizure free immediately after endoscopic disconnection surgery, one patient with a widespread seizure focus involving the motor strip continued to experience rare complex partial seizures but gelastic seizures ceased, and one experienced a reduced frequency of seizures but persistence of some generalized seizures. Three patients suffered postoperative disconnection-like syndrome, which continued 3 to 7 days and spontaneously disappeared. The authors advocate the endoscopic disconnection surgery as a safe and effective treatment for HH-related epilepsy by blocking the spread of epileptic discharges from the lesion.
Full Text
http://thejns.org/doi/abs/10.3171/ped.2004.100.5.0506
DOI
10.3171/ped.2004.100.5.0506
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Neurology (신경과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Neurosurgery (신경외과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Dong Seok(김동석)
Kim, Tae Gon(김태곤)
Yang, Kook Hee(양국희)
Lee, Byung In(이병인)
Chang, Jong Hee(장종희) ORCID logo https://orcid.org/0000-0003-1509-9800
Chang, Jin Woo(장진우) ORCID logo https://orcid.org/0000-0002-2717-0101
Choi, Joong Uhn(최중언)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/111457
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