Temporal lobe epilepsy with hypothalamic hamartoma: a rare case.
- Author:
An-Chao YANG
1
;
Kai ZHANG
;
Jian-Guo ZHANG
;
Huan-Guang LIU
;
Ning CHEN
;
Ming GE
;
Qin BAI
;
Fan-Gang MENG
Author Information
1. Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing 100050, China.
- Publication Type:Case Reports
- MeSH:
Adult;
Electroencephalography;
Epilepsy, Temporal Lobe;
diagnosis;
surgery;
Female;
Hamartoma;
diagnosis;
surgery;
Humans;
Hypothalamic Diseases;
diagnosis;
surgery
- From:
Chinese Medical Journal
2011;124(7):1114-1117
- CountryChina
- Language:English
-
Abstract:
Refractory gelastic seizure is one of the most common clinical manifestations in patients with hypothalamic hamartoma (HH) and HH is usually regarded as the epileptogenic focus. A young female patient with a small HH and refractory seizures is reported here. However, both the seizure semiology and results of electroencephalogram monitoring indicated the right temporal region was the epileptogenic focus. Thus a standard right anterior temporal lobectomy was performed while the hamartoma preserved. There was a marked improvement in both seizure frequency and quality of life during a 13-month follow-up. The outcome supported the concept that independent epileptogenic focus outside of the hypothalamus might occur in patients with HH.
