Galimova RM, Illarioshkin SN, Safin SM, Buzaev IV, Nabiullina DI, Krekotin DK, Nurmukhametova SR, Sidorova YA, Akhmadeeva GN, Kashapov FF, Yakupov TZ, Teregulova DR. [Hypothalamic hamartoma dissection using focused ultrasound under MRI control. The first successful experience in Russia].
Zh Vopr Neirokhir Im N N Burdenko 2024;
88:79-87. [PMID:
38334734 DOI:
10.17116/neiro20248801179]
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Abstract
Treatment of motor disorders by MRI-guided focused ultrasound is an alternative to neuro- and radiosurgery such as stereotactic radiofrequency ablation and thalamotomy with a gamma knife. However, safety, efficacy and feasibility of this technology for intracranial neoplasms are still unclear. The authors report successful hypothalamic hamartoma dissection by MRI-guided focused ultrasound in a 32-year-old woman with drug-resistant gelastic epilepsy and violent laughter and crying attacks. Magnetic resonance imaging revealed type II hypothalamic hamartoma. The last one was detached from surrounding brain tissue by MRI-guided focused ultrasound without side effects. Symptoms regressed immediately after surgery. No laughter and crying attacks were observed throughout 6-month follow-up.
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