A Case of Hypothalamic Hamartoma with Gelastic Seizure Only.
- Author:
Se Wook OH
1
;
Je Ho CHO
;
Sang Woo KIM
Author Information
1. Department of Pediatrics, Seoul Paik Hospital, College of Medicine, Inje University, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Arteriovenous malformation;
Spine;
Epidural hematoma Lumbar puncture;
Paraplegia
- MeSH:
Anticonvulsants;
Arteriovenous Malformations;
Cleft Palate;
Electroencephalography;
Hamartoma*;
Humans;
Intellectual Disability;
Magnetic Resonance Imaging;
Optic Chiasm;
Paraplegia;
Puberty, Precocious;
Seizures*;
Spine;
Tetralogy of Fallot
- From:Journal of the Korean Pediatric Society
1996;39(3):436-441
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Hypothalamic hamartoma is a congenital anomaly presenting precocious puberty, gelastic seizure and mental retardation. Other possible accompanying anomalies are cleft palate, tetralogy of Fallot, skeletal malformation and anal malformation. But the patient describing here manifested gelastic seizure only with isosignal mass of 1.5cm in diameter situated just behind optic chiasm in T1WI and T2WI of MRI. His EEG showed multifocal spike and sharp waves at left frontal and central area with asymmetric sleep spindles. The seizure has been refractory to conventional antiepileptic drugs. He is now on Lamotrigine, a newly developed antiepileptic drug available.
