How would we deal with hypothalamic hamartomas?

• 作者: Dong-Seok Kim Eun Kyung Park Ju Seong Kim Kyu Won Shim
• 来源期刊: 世界外科手术杂志
• 学科: 医学
• 关键词: HYPOTHALAMIC HAMARTOMA Epilepsy Gelastic SEIZURE Transcallosal resection Endoscopic surgery RADIOSURGERY STEREOTACTIC radiofrequency ablation
• 年，卷（期）: 2015,（1）
• 页码范围: 65-74
• 页数: 10页
• 分类号: R

摘要

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.