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Successful Endoscopic Disconnection for Hypothalamic Hamartomas in a Child with Gelastic Seizures: An Unusual Case in a Resource-Scare Setting

International medical case reports journal, 2020-01, Vol.13, p.425-430 [Peer Reviewed Journal]

COPYRIGHT 2020 Dove Medical Press Limited ;2020. This work is licensed under https://creativecommons.org/licenses/by-nc/3.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. ;2020 Dong et al. 2020 Dong et al. ;ISSN: 1179-142X ;EISSN: 1179-142X ;DOI: 10.2147/IMCRJ.S265810 ;PMID: 33061665

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  • Title:
    Successful Endoscopic Disconnection for Hypothalamic Hamartomas in a Child with Gelastic Seizures: An Unusual Case in a Resource-Scare Setting
  • Author: Dong, He Van ; Tran, Van Dinh ; Nguyen, Dinh-Hoa ; Vu, Hoe Van ; Nguyen, Tuan Anh ; Doan, Ha Ngoc Thi ; Vo, Hoang-Long
  • Subjects: Ablation ; Brain ; Care and treatment ; Case Report ; Convulsions & seizures ; Drug resistance ; drug-resistant epilepsy ; endoscopic surgical disconnection ; Endoscopy ; Epilepsy ; gelastic seizure ; hypothalamic hamartomas ; Hypothalamus ; Magnetic resonance imaging ; Patients ; Seizures (Medicine) ; Surgery
  • Is Part Of: International medical case reports journal, 2020-01, Vol.13, p.425-430
  • Description: Although the endoscopic disconnection surgery for the hamartomas was previously shown as a safe and effective treatment strategy in eliminating gelastic epilepsy, to date, there was no convincing evidence with this procedure in the resource-scare settings. We discuss an unusual case of a 7-year-old child who suffered from pharmacoresistant gelastic seizures was surgically treated with the endoscopic disconnection of the hypothalamic hamartomas. The patient underwent endoscopic surgery through the left ventricle approach to disconnect the lesion of the hypothalamus. Immediately after surgery, the patient's clinical laughter was eliminated with no complications. From the initial experience at our center, successful outcome of this case contributes to supporting the solid evidence in choosing the right treatment approach for the hypothalamus in subsequent cases, towards not only Vietnam but also the countries having similar resource-scare conditions. Keywords: hypothalamic hamartomas, gelastic seizure, drug-resistant epilepsy, endoscopic surgical disconnection
  • Publisher: Macclesfield: Dove Medical Press Limited
  • Language: English
  • Identifier: ISSN: 1179-142X
    EISSN: 1179-142X
    DOI: 10.2147/IMCRJ.S265810
    PMID: 33061665
  • Source: GFMER Free Medical Journals
    PubMed Central
    DOVE Medical Press Journals
    ROAD: Directory of Open Access Scholarly Resources
    ProQuest Central
    DOAJ Directory of Open Access Journals
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