Journal Information
Vol. 15. Issue 3.
Pages 294-297 (January 2004)
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Vol. 15. Issue 3.
Pages 294-297 (January 2004)
Voluminoso hamartoma hipotalámico en un niño de 5 meses: Epilepsia y cirugía
Voluminous hypothalamic hamartoma in a 5-month-old boy: Epilepsy and surgery
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2023
E. Aran
, J. Pereira, R. Vaz
Servicio de Neurocirugía. Hospital Sao Joáo. Oporto. Portugal
L. Castro*
* Servicio de Anatomía Patológica. Hospital Sao Joáo. Oporto. Portugal
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Resumen

Los autores presentan el caso clínico de un niño de 5 meses de edad con un hamartoma hipotalámico, con crisis gelásticas persistentes y refractarias a una amplia combinación de diferentes antiepilépticos.

Se decidió realizar una remoción parcial de la lesión tumoral para descompresión y disminución del estímulo epileptogénico, en un intento de control quirúrgico de las crisis.

La terapéutica quirúrgica se reveló como una opción válida en el tratamiento de las crisis gelásticas incontrolables con la terapéutica médica.

Palabras clave:
Hamartoma hipotalámico
Hamartoma del sistema nervioso central
Crisis gelásticas
Summary

The authors report the case of 5-month-old boy with a hypothalamic hamartoma and persistent gelastic seizures in spite of a wide combination of different antiepileptic drugs.

It was decided to carry out only partial remo val of the tumor for decompression and to decreasing the activity of the epileptogenic focus.

Surgical therapy revealed as a valid option in the treatment of the uncontrollable gelastic seizures.

Keywords:
Hypothalamic hamartoma
Central nervous system hamartoma
Gelastic crises

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