A Case Report on Hypothalamic Hamartoma—An Odd Cause of Unusual Seizure Presentation and Drug-resistant Epilepsy in Children

Background Hypothalamic Hamartoma (HH) is a rare benign mass in the hypothalamus that typically manifests as gelastic seizures (GS) (epileptic events characterized by bouts of laughter inappropriate to the context) resulting in treatment-resistant epilepsy, central precocious puberty (CPP), cognitiv...

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Bibliographic Details
Published in:Nursing & midwifery research journal 2025-01, Vol.21 (1), p.61-68
Main Authors: MV, Vijitha, MO, Nirmala, Vilanilam, George C, L, Suja Raj
Format: Article
Language:English
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Summary:Background Hypothalamic Hamartoma (HH) is a rare benign mass in the hypothalamus that typically manifests as gelastic seizures (GS) (epileptic events characterized by bouts of laughter inappropriate to the context) resulting in treatment-resistant epilepsy, central precocious puberty (CPP), cognitive decline, or behavioral abnormalities in children. Purpose To find out the menifestations and management of child with HH. Methods We report the case of a two-year-old child diagnosed with HH, which manifested as refractory GS, development of secondary sexual characteristics, and aggressive behavior. Results The child was managed successfully by surgical resection of the mass. The postoperative phase was uneventful, with a good outcome. Timely detection of the condition, parental counseling and education, and early management of the case is important for the best outcome.
ISSN:0974-150X
2752-8367
DOI:10.1177/0974150X241302186