An Undiagnosed Case of Hypothalamic Hamartoma with a Rare Presentation

(2017) An Undiagnosed Case of Hypothalamic Hamartoma with a Rare Presentation. Case Reports in Medicine. ISSN 1687-9627

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Abstract

Background. Hypothalamic hamartomas (HHs) are rare tumor-like malformations that may present with complex partial seizures refractory to anticonvulsants in adulthood. The condition may be misdiagnosed because of rarity. Case Presentation. We report a 25-year-old man with complaint of seizures presented by falling, tonic spasm of limbs, oral automatism, vocalization, and hypermotor activities. His seizures started at the age of one month and presented as eye deviation and upper limbs myoclonic jerk, followed by frequent seizures with variable frequency. The patient had delayed developmental milestones and was mentally retarded. He was hospitalized and underwent video-EEG monitoring and neuroimaging, and the diagnosis of HH was made. The patient became candidate for surgery after that. Conclusion. In this case, the underlying etiology of seizures was diagnosed after 25 years. HH is a rare condition and neurologists may encounter very small number of these cases during their practice. Therefore, they should consider it in patients who present with suspected signs and symptoms.

Item Type: Article
Keywords: of-the-literature seizures epilepsy
Divisions: Faculty of Medicine > Departments of Clinical Sciences > Department of Neurology
Faculty of Medicine > Departments of Clinical Sciences > Department of Radiology
Isfahan Neurosciences Research Center
Psychosomatic Research Center
Other
Faculty of Medicine > Departments of Clinical Sciences > Department of Neurosurgery
Faculty of Medicine > Departments of Clinical Sciences > Department of Psychiatric
Journal or Publication Title: Case Reports in Medicine
Journal Index: ISI
Identification Number: Artn 2432315 10.1155/2017/2432315
ISSN: 1687-9627
Depositing User: مهندس مهدی شریفی
URI: http://eprints.mui.ac.ir/id/eprint/1007

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