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.
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.
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