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How would we deal with hypothalamic hamartomas?

Authors
 Kyu Won Shim  ;  Eun Kyung Park  ;  Ju Seong Kim  ;  Dong-Seok Kim 
Citation
 World Journal of Surgical Procedures, Vol.5(1) : 65-74, 2015 
Journal Title
 World Journal of Surgical Procedures 
ISSN
 2219-2832 
Issue Date
2015
MeSH
Adult ; Child ; Child, Preschool ; Electroencephalography/methods ; Epilepsy/etiology ; Epilepsy/physiopathology ; Female ; Hamartoma/physiopathology* ; Humans ; Hypothalamic Diseases/physiopathology* ; Intraoperative Neurophysiological Monitoring ; Male ; Young Adult
Keywords
Hypothalamic hamartoma ; Gelastic seizures ; Depth electrodes ; Invasive monitoring ; Epilepsy surgery
Abstract
Hypothalamic hamartoma (HH) is usually associated with refractory epilepsy, cognitive impairment, and behavioral disturbance. There is now increasing evidence that HH can be treated effectively with a variety of neurosurgical approaches. Treatment options for intractable gelastic seizure in HH patients include direct open surgery with craniotomy, endoscopic surgery, radiosurgery with gamma knife and stereotactic radiofrequency thermocoagulation. Selection of treatment modalities depends on type and size of the HH and the surgeon’s preference. Two surgical techniques, resection and disconnection, had been described with favorable outcomes. Pretreatment evaluation, patient selection, surgical techniques, complications, and possible selection of treatment are discussed.
Files in This Item:
T201500870.pdf Download
DOI
10.5412/wjsp.v5.i1.65
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Neurosurgery (신경외과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Dong Seok(김동석)
Kim, Ju Seong(김주성)
Park, Eun Kyung(박은경)
Shim, Kyu Won(심규원) ORCID logo https://orcid.org/0000-0002-9441-7354
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/139778
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