Long‐term seizure outcomes in patients with hypothalamic hamartoma treated by stereotactic radiofrequency thermocoagulation

Epilepsia ◽  
2021 ◽  
Author(s):  
Hiroshi Shirozu ◽  
Hiroshi Masuda ◽  
Shigeki Kameyama
Medicine ◽  
2015 ◽  
Vol 94 (45) ◽  
pp. e1994 ◽  
Author(s):  
Yuan-Zhang Tang ◽  
Bai-Shan Wu ◽  
Li-Qiang Yang ◽  
Jian-Ning Yue ◽  
Liang-Liang He ◽  
...  

Epilepsia ◽  
2017 ◽  
Vol 58 (9) ◽  
pp. 1556-1565 ◽  
Author(s):  
Masaki Sonoda ◽  
Hiroshi Masuda ◽  
Hiroshi Shirozu ◽  
Yosuke Ito ◽  
Kohei Akazawa ◽  
...  

2007 ◽  
Vol 76 (1) ◽  
pp. 15-21 ◽  
Author(s):  
Junpei Homma ◽  
Shigeki Kameyama ◽  
Hiroshi Masuda ◽  
Takehiko Ueno ◽  
Ayataka Fujimoto ◽  
...  

2014 ◽  
Vol 14 (1) ◽  
pp. 101-107 ◽  
Author(s):  
Sunil Manjila ◽  
Timothy W. Vogel ◽  
Yunwei Chen ◽  
Mark S. Rodgers ◽  
Alan R. Cohen

Hypothalamic hamartomas (HHs) are rare developmental lesions arising from the inferior hypothalamus that may cause gelastic seizures and central precocious puberty. Cystic changes in HHs are rare, usually occurring in giant lesions. The authors describe an unusual case of cystic HH masquerading as a suprasellar arachnoid cyst in an 18-month-old girl presenting with precocious puberty. Microsurgical removal of the lesion led to complete resolution of the precocious puberty on long-term follow-up. This case is the first reported HH with pathological demonstration of corticotropin-releasing hormone immunostaining in the solid tumor and glial cells in the cyst wall of the lesion. The clinical and radiological characteristics of HHs are reviewed, along with the unique surgical strategies used to manage cystic lesions in the suprasellar region.


2019 ◽  
Vol 5 (22;5) ◽  
pp. E467-E475
Author(s):  
Luo Fang

Background: Percutaneous radiofrequency thermocoagulation (PRFT) has been widely used to treat trigeminal neuralgia. By querying MEDLINE, EMBASE, and the Cochrane Library, no study has reported the long-term outcome of PRFT for tumor-related trigeminal neuralgia (TRTN). Objectives: In this study, we aimed to evaluate the long-term efficacy and safety of PRFT as an alternative treatment for TRTN. Study Design: A retrospective study. Setting: The interventional pain management center in Beijing Tiantan hospital. Methods: We retrospectively analyzed data of all patients who underwent PRFT applied to the Gasserian ganglion under computed tomography guidance for TRTN through a combination of available institutional electronic medical records, patient notes, and radiologic images. Results: Among 38 patients with PRFT treated between March 2007 and February 2018, 13 patients were men and 25 were women. All patients were evaluated as modified Barrow Neurological Institute (BNI) IV-V before the operation and had a total symptom duration of 45.55 ± 23.31 months. The mean operation duration was 59.63 ± 16.89 minutes. All patients experienced satisfactory pain relief defined as a classification of BNI I-IIIb within 3 days after PRFT. The median remission length with satisfactory pain relief was 33 (range, 4-132) months. No serious intraoperative complications, except bradycardia in 6 patients, were recorded. Postprocedure complications, including masticatory muscle weakness, were reported in 5 patients. Although all 38 patients experienced facial dysesthesia, the patients’ Likert scale rating represented that quality of life significantly increased after the procedure. Limitations: The small sample size may have unavoidably caused selection bias in our study. Larger prospective, randomized, multicenter trials are necessary to validate our outcomes. Conclusions: PRFT is an effective and safe treatment that should be considered as an alternative for pain control in the treatment of TRTN. Key words: Pain, secondary trigeminal neuralgia, radiofrequency thermocoagulation, trigeminal neuralgia


2020 ◽  
Vol 103 ◽  
pp. 106578
Author(s):  
Giulia Iapadre ◽  
Luca Zagaroli ◽  
Nicola Cimini ◽  
Vincenzo Belcastro ◽  
Daniela Concolino ◽  
...  

Neurology ◽  
2012 ◽  
Vol 78 (Meeting Abstracts 1) ◽  
pp. P01.067-P01.067
Author(s):  
M.-J. Liu ◽  
S. Pati ◽  
A. Deep ◽  
Y.-t. Ng

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