Seizure - European Journal of Epilepsy Adult-onset refractory epilepsy with hypothalamic hamartoma and no gelastic seizures successfully treated by stereotactic thermocoagulation: A case report Daichi Sone, Takanobu Kaido, Masako Watanabe, Yoshiko Murata, Go Taniguchi, Taisuke Otsuki Seizure - European Journal of Epilepsy Volume 37, Pages 32-34 (April 2016) DOI: 10.1016/j.seizure.2016.02.013 Copyright © 2016 British Epilepsy Association Terms and Conditions
Fig. 1 Results of noninvasive presurgical evaluation including ictal scalp EEG (A), coronal FLAIR (B), constructive interference in steady state (CISS) MRI (C), interictal 18F-FDG-PET (D), subtraction ictal SPECT coregistered to MRI (SISCOM) (E) and magnetoencephalography (F). Seizure - European Journal of Epilepsy 2016 37, 32-34DOI: (10.1016/j.seizure.2016.02.013) Copyright © 2016 British Epilepsy Association Terms and Conditions
Fig. 2 (A) Intracranial EEG at ictal onset revealed that rhythmic ictal discharges from HH preceded those from left hippocampus. Twelve seconds after this EEG, oral automatism started (aura was not reported in this recording). HH: hypothalamic hamartoma, HC; hippocampus, TL: temporal lobe, FL: frontal lobe, Lt: left. (B) Placement of depth electrodes into the hamartoma and left hippocampus. (C) Postoperative CISS MRI at 11 month after surgery. Seizure - European Journal of Epilepsy 2016 37, 32-34DOI: (10.1016/j.seizure.2016.02.013) Copyright © 2016 British Epilepsy Association Terms and Conditions