Stereotactic radiofrequency thermolesion for disconnection in Hypothalamic Hamartoma due to gelastic crises refractory to previous surgical interventions.
DOI:
https://doi.org/10.47924/neurotarget2024465Keywords:
hypothalamic hamartomas, gelastic crises, radiofrequency thermolesion, stereotacticAbstract
Hypothalamic hamartomas are benign tumors of low incidence, with epileptogenic characteristics, among which gelastic crises stand out. To date, there is no Gold Standard for the treatment of this type of pathology, there are multiple procedures, making it necessary to use a combined approach or surgery due to the recurrence of symptoms in several cases. In this study we describe our experience with a patient who was operated at different times and using different techniques to manage gelastic crisis with poor result. Disconnection of the epileptogenic area was proposed by performing several thermolesions using stereotactic radiofrequency. Control over time of gelastic seizures and a reduction in secondary seizures was observed, associated with low morbidity and mortality. It is proposed that radiofrequency is a good technique for this type of case due to its effectiveness, being minimally invasive and having a low associated risk.
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Copyright (c) 2024 Ramiro Menéndez, Federico Sánchez González, Sergio Pampin, Nicolás Barbosa, Nelson Ernesto Quintanal Cordero, Fabián Piedimonte
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The article is distributed under the Creative Commons Attribution 4.0 License. Unless otherwise stated, associated published material is distributed under the same licence.
