Hypothalamic hamartomas and Gelastic seizures. Chilean experience in a pediatric epilepsy surgery program during 13 years - Review of the literature
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چکیده
منابع مشابه
Gelastic epilepsy: Beyond hypothalamic hamartomas
Gelastic epilepsy or laughing seizures have been historically related to children with hypothalamic hamartomas. We report three adult patients who had gelastic epilepsy, defined as the presence of seizures with a prominent laugh component, including brain imaging, surface/invasive electroencephalography, positron emission tomography, and medical/surgical outcomes. None of the patients had hamar...
متن کاملHypothalamic hamartomas causing gelastic epilepsy: Two cases and a review of the literature
Two cases of hypothalamic hamartomas causing gelastic epilepsy are described. The clinical presentations and the radiological features are presented, and the mechanisms involved in laughing attacks are discussed. The literature is reviewed and it is suggested the complete extirpation of the hamartomas is the treatment of choice in gelastic epilepsy.
متن کاملGelastic seizures associated with hypothalamic hamartomas. An update in the clinical presentation, diagnosis and treatment
Gelastic seizures are epileptic events characterized by bouts of laughter. Laughter-like vocalization is usually combined with facial contraction in the form of a smile. Autonomic features such as flushing, tachycardia, and altered respiration are widely recognized. Conscious state may not be impaired, although this is often difficult to asses particularly in young children. Gelastic seizures h...
متن کاملInterstitial radiosurgery in the treatment of gelastic epilepsy due to hypothalamic hamartomas.
The authors evaluated a new stereotactic radiosurgical approach in seven patients with gelastic epilepsy due to hypothalamic hamartomas. Stereotactic implantation of 125I-seeds into the hamartoma was feasible in six patients. At follow-up at least 1 year after interstitial radiotherapy, two patients had become seizure-free within 2 months, and two others had only persisting auras. There were no...
متن کاملGelastic epilepsy and hypothalamic hamartomas: neuroanatomical analysis of brain lesions in 100 patients.
Hypothalamic hamartomas present with isolated fits of ictal laughter (gelastic epilepsy) or a combination of gelastic and other types of seizures. Many of these patients also suffer from cognitive decline, neuropsychiatric comorbidities and precocious puberty. Although there is a large body of anecdotal evidence about hypothalamic hamartomas and gelastic seizures, many questions still remain to...
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ژورنال
عنوان ژورنال: Trends in Medicine
سال: 2018
ISSN: 1594-2848
DOI: 10.15761/tim.1000149