A case of pure gelastic seizures due to hypothalamic hamartoma with a benign course

Hypothalamic hamartoma is a potentially complex entity with diverse clinical manifestations. We report a case of gelastic seizures associated with a hypothalamic hamartoma, which followed a benign course. A 31-year-old woman with episodes of laughter was referred for diagnostic evaluation. Her initi...

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Main Authors: T.D. Gosavi, M.C. Walker
Format: Article
Language:English
Published: Elsevier 2017-01-01
Series:Epilepsy and Behavior Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2213323216300998
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author T.D. Gosavi
M.C. Walker
author_facet T.D. Gosavi
M.C. Walker
author_sort T.D. Gosavi
collection DOAJ
description Hypothalamic hamartoma is a potentially complex entity with diverse clinical manifestations. We report a case of gelastic seizures associated with a hypothalamic hamartoma, which followed a benign course. A 31-year-old woman with episodes of laughter was referred for diagnostic evaluation. Her initial MRI and EEG were reported as normal. However, her episodes of laughter were typical of gelastic seizures from history and video review. Repeat MRI revealed a small HH. She declined any medical treatment and was medication free until last follow-up. This benign course of HH-associated epilepsy, not necessitating treatment, to our knowledge, has not been previously reported.
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spelling doaj.art-623575aca35d472ea38cd01777a8be8b2022-12-21T17:45:48ZengElsevierEpilepsy and Behavior Case Reports2213-32322017-01-018C11111310.1016/j.ebcr.2017.06.004A case of pure gelastic seizures due to hypothalamic hamartoma with a benign courseT.D. Gosavi0M.C. Walker1Dept. of Clinical and Experimental Epilepsy, National Hospital of Neurology and Neurosurgery, London, UKDept. of Clinical and Experimental Epilepsy, National Hospital of Neurology and Neurosurgery, London, UKHypothalamic hamartoma is a potentially complex entity with diverse clinical manifestations. We report a case of gelastic seizures associated with a hypothalamic hamartoma, which followed a benign course. A 31-year-old woman with episodes of laughter was referred for diagnostic evaluation. Her initial MRI and EEG were reported as normal. However, her episodes of laughter were typical of gelastic seizures from history and video review. Repeat MRI revealed a small HH. She declined any medical treatment and was medication free until last follow-up. This benign course of HH-associated epilepsy, not necessitating treatment, to our knowledge, has not been previously reported.http://www.sciencedirect.com/science/article/pii/S2213323216300998Gelastic seizuresHypothalamic hamartomaBenign outcome
spellingShingle T.D. Gosavi
M.C. Walker
A case of pure gelastic seizures due to hypothalamic hamartoma with a benign course
Epilepsy and Behavior Case Reports
Gelastic seizures
Hypothalamic hamartoma
Benign outcome
title A case of pure gelastic seizures due to hypothalamic hamartoma with a benign course
title_full A case of pure gelastic seizures due to hypothalamic hamartoma with a benign course
title_fullStr A case of pure gelastic seizures due to hypothalamic hamartoma with a benign course
title_full_unstemmed A case of pure gelastic seizures due to hypothalamic hamartoma with a benign course
title_short A case of pure gelastic seizures due to hypothalamic hamartoma with a benign course
title_sort case of pure gelastic seizures due to hypothalamic hamartoma with a benign course
topic Gelastic seizures
Hypothalamic hamartoma
Benign outcome
url http://www.sciencedirect.com/science/article/pii/S2213323216300998
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