Epilepsy surgery, hypothalamic hamartomas and the quest for a cure

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Abstract

This presentation reviews the epidemiology of epilepsy, the evolution of epilepsy surgery, the selection of cases for surgery, the range and results of epilepsy surgery, and the future development of this burgeoning field. Hypothalamic hamartoma (HH) is a rare developmental lesion which causes intractable gelastic epilepsy which is refractory to medical therapy. Hypothalamic hamartoma presents a formidable surgical challenge. The application of a midline transcallosal interforniceal approach to resect the HH from within the third ventricle, in a series of 28 patients, is presented. This has produced excellent results with minimal morbidity. This surgery is placed within the context of epilepsy surgery in general.

Original languageEnglish
Pages (from-to)653-659
Number of pages7
Journal Journal of the Royal College of Surgeons of Edinburgh
Volume47
Issue number5
Publication statusPublished - Oct 2002

Keywords

  • Developing world
  • Epilepsy surgery
  • Hypothalamic hamartoma

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