Arán E, Pereira J, Castro L, Vaz R
Servicio de Neurocirugía. Hospital São João. Oporto. Portugal.
Neurocirugia (Astur). 2004 Jun;15(3):294-7. doi: 10.1016/s1130-1473(04)70487-x.
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 removal 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.
作者报告了一例5个月大的男孩,患有下丘脑错构瘤,尽管联合使用了多种不同的抗癫痫药物,仍有持续性痴笑发作。决定仅对肿瘤进行部分切除以减压并降低致痫灶的活性。手术治疗被证明是治疗无法控制的痴笑发作的有效选择。