Abstract:
:We report the case of a 3-year-old boy with status gelasticus symptomatic to a giant hypothalamic hamartoma despite two previous hypothalamic hamartoma surgeries using pterional approaches from each side. Following his third resection employing an endoscopic, transventricular approach, he has been seizure free for 6 months with significant cognitive, behavioral, and electroencephalographic improvement. This case reinforces the importance of surgery for a form of status epilepticus and in addition that repeat (three) surgeries can be successful, indeed life changing. The optimal surgical approaches and management plan for hypothalamic hamartoma surgery-including subtemporal, subfrontal, transcallosal, and endoscopic approaches-are discussed, including how these treatment decisions have evolved as a result of our large series experience.
journal_name
Epilepsiajournal_title
Epilepsiaauthors
Ng YT,Rekate HLdoi
10.1111/j.1528-1167.2010.02921.xsubject
Has Abstractpub_date
2011-01-01 00:00:00pages
e1-3issue
1eissn
0013-9580issn
1528-1167journal_volume
52pub_type
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