Successful resection of Hypothalamic Hamartoma with intractable gelastic seizures--by transcallosal subchoroidal approach.

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dc.contributor.authorBunyaratavej, Krishnapundhaen_US
dc.contributor.authorLocharernkul, Chaichonen_US
dc.contributor.authorTepmongkol, Supatpornen_US
dc.contributor.authorLerdlum, Sukalayaen_US
dc.contributor.authorShuangshoti, Shanopen_US
dc.contributor.authorKhaoroptham, Surachaien_US
dc.date.accessioned2009-05-27T18:17:28Z
dc.date.available2009-05-27T18:17:28Z
dc.date.issued2006-08-20en_US
dc.descriptionChotmaihet Thangphaet.en_US
dc.description.abstractA 19-year old female with intractable gelastic seizures was found to have 0.7 x 1.8 x 1.8 cm elliptical mass on the floor of the third ventricle. The signal intensity on the Magnetic Resonance Imaging (MRI) was consistent with the Hypothalamic Hamartoma (HH). Ictal EEG demonstrated rhythmic 7 Hz waves over Fp2, F4, and C4 with spreading to the right temporal region and then bilaterally. Ictal Single Photon Emission Computerized Tomography (SPECT) showed hyperperfusion at hypothalamic and medial frontopolar regions. The patient underwent surgical resection using Trans Callosal Subchoroidal Approach (TCSA) to the third ventricle. Pathological finding confirmed the diagnosis of hypothalamic hamartoma. Following the operation, she has been seizure free up to 12 months. Thereafter, provoked seizures seldom occurred and there has been improvement in her memory, emotional control and independence. This appears to be the first report of this surgical approach for HH, which is less likely to disturb memory function compared to previously described interfoniceal approach.en_US
dc.description.affiliationChulalongkorn Comprehensive Epilepsy Program, Bangkok, Thailand.en_US
dc.identifier.citationBunyaratavej K, Locharernkul C, Tepmongkol S, Lerdlum S, Shuangshoti S, Khaoroptham S. Successful resection of Hypothalamic Hamartoma with intractable gelastic seizures--by transcallosal subchoroidal approach. Journal of the Medical Association of Thailand. 2006 Aug; 89(8): 1269-76en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/38847
dc.language.isoengen_US
dc.source.urihttps://www.mat.or.th/journal/all.phpen_US
dc.subject.meshChilden_US
dc.subject.meshEpilepsies, Partial --diagnosisen_US
dc.subject.meshFemaleen_US
dc.subject.meshHamartoma --diagnosisen_US
dc.subject.meshHumansen_US
dc.subject.meshHypothalamic Diseases --diagnosisen_US
dc.subject.meshHypothalamus --surgeryen_US
dc.subject.meshMagnetic Resonance Imagingen_US
dc.subject.meshNeurosurgical Procedures --methodsen_US
dc.subject.meshTomography, Emission-Computed, Single-Photonen_US
dc.subject.meshTreatment Outcomeen_US
dc.titleSuccessful resection of Hypothalamic Hamartoma with intractable gelastic seizures--by transcallosal subchoroidal approach.en_US
dc.typeCase Reportsen_US
dc.typeJournal Articleen_US
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