Abstract
Hypothalamic hamartomas are often associated to a progressive epileptic encephalopathy. Non-invasive data indicates that destruction or isolation of the hamartoma may stop seizures. We present data on patients who underwent stereotactic radiofrequency with or without endoscopy. Epilepsy improved in 60% of patients with minimal morbidity. This approach was less successful in large lesions. These results indicate that this approach should be considered in patients with small/medium lesions.
MeSH terms
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Adolescent
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Adult
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Child
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Child, Preschool
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Electroencephalography
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Endoscopy*
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Epilepsies, Partial / diagnosis
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Epilepsies, Partial / surgery*
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Female
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Follow-Up Studies
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Hamartoma / diagnosis
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Hamartoma / surgery*
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Humans
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Hyperthermia, Induced*
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Hypothalamic Diseases / diagnosis
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Hypothalamic Diseases / surgery*
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Magnetic Resonance Imaging
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Male
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Postoperative Complications / etiology
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Stereotaxic Techniques*
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Surgery, Computer-Assisted
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Tomography, Emission-Computed, Single-Photon
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Treatment Outcome