TY - JOUR
T1 - Small hypothalamic hamartomas and gelastic seizures
AU - Striano, Salvatore
AU - Striano, Pasquale
AU - Cirillo, Sossio
AU - Nocerino, Cristoforo
AU - Bilo, Leonilda
AU - Meo, Roberta
AU - Ruosi, Patrizia
AU - Boccella, Patrizia
AU - Briganti, Francesco
PY - 2002
Y1 - 2002
N2 - Purpose: To describe the clinical history of patients with gelastic seizures (GSs) related to small-size hypothalamic hamartomas (HHs), and to show some of these unusual seizures. Material and methods: Patients with GSs and the MRI finding of HH <1 cm diameter. Ictal EEG or video EEG are required. Results: Three patients, among 6 with GSs and HH, had a small sessile HH. None of them had a history of precocious puberty, nor any relevant cognitive defects. All patients suffered from other seizure types, in addition to GSs. GSs were drug-resistant in all cases. Conclusion: Since small, not easily recognizable HHs may be present in patients with GSs, a careful MRI study of the hypothalamic, infundibular and mammillary bodys areas is mandatory in these cases [published with videosequences].
AB - Purpose: To describe the clinical history of patients with gelastic seizures (GSs) related to small-size hypothalamic hamartomas (HHs), and to show some of these unusual seizures. Material and methods: Patients with GSs and the MRI finding of HH <1 cm diameter. Ictal EEG or video EEG are required. Results: Three patients, among 6 with GSs and HH, had a small sessile HH. None of them had a history of precocious puberty, nor any relevant cognitive defects. All patients suffered from other seizure types, in addition to GSs. GSs were drug-resistant in all cases. Conclusion: Since small, not easily recognizable HHs may be present in patients with GSs, a careful MRI study of the hypothalamic, infundibular and mammillary bodys areas is mandatory in these cases [published with videosequences].
KW - Drug-resistant epilepsy
KW - Gelastic seizures
KW - Hypothalamic hamartoma
KW - Magnetic resonance imaging
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M3 - Article
C2 - 12105075
AN - SCOPUS:0036310029
VL - 4
SP - 129
EP - 133
JO - Epileptic Disorders
JF - Epileptic Disorders
SN - 1294-9361
IS - 2
ER -