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01-10-2020 | Ultrasound | Case Report - Functional Neurosurgery - Epilepsy

Magnetic resonance–guided focused ultrasound ablation of hypothalamic hamartoma as a disconnection surgery: a case report

Authors: Toshio Yamaguchi, Tomokatu Hori, Hiroki Hori, Masahito Takasaki, Keiichi Abe, Takaomi Taira, Kenji Ishii, Kazuo Watanabe

Published in: Acta Neurochirurgica | Issue 10/2020

Abstract

We report the case of a patient with hypothalamic hamartoma (HH) who was successfully treated with magnetic resonance–guided focused ultrasound (MRgFUS) for ablation as a disconnection surgery. A 26-year-old man with gelastic epilepsy had been diagnosed with HH at 3 years of age, and antiepileptic drugs were administered due to worsening episodes. Magnetic resonance imaging showed a sessile parahypothalamic hamartoma and MRgFUS ablation was performed, creating an oval-shaped lesion at the boundary area of the HH. Dramatic improvements in seizure symptoms were noted, and he was seizure-free on decreased antiepileptic drugs without any adverse events over the 1-year follow-up period.

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Title: Magnetic resonance–guided focused ultrasound ablation of hypothalamic hamartoma as a disconnection surgery: a case report
Authors: Toshio Yamaguchi
Tomokatu Hori
Hiroki Hori
Masahito Takasaki
Keiichi Abe
Takaomi Taira
Kenji Ishii
Kazuo Watanabe
Publication date: 01-10-2020
Publisher: Springer Vienna
Keywords: Ultrasound
Hamartoma
Ultrasound
Carbamazepine
Published in: Acta Neurochirurgica / Issue 10/2020
Print ISSN: 0001-6268
Electronic ISSN: 0942-0940
DOI: https://doi.org/10.1007/s00701-020-04468-6

At a glance: The STEP trials

Springer Medicine

Magnetic resonance–guided focused ultrasound ablation of hypothalamic hamartoma as a disconnection surgery: a case report

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

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