Neurosurgery
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Review Case Reports
Transcallosal resection of hypothalamic hamartomas, with control of seizures, in children with gelastic epilepsy.
Hypothalamic hamartomas (HHs) are associated with precocious puberty and gelastic epilepsy; the seizures are often refractory to antiepileptic medications and associated with delayed development and disturbed behavior. The current opinion is that surgery to treat intrahypothalamic lesions is formidable and that complete excision is not technically achievable. We report our experience with a transcallosal approach to the resection of HHs. ⋯ Complete or nearly complete resection of HHs can be safely achieved via a transcallosal approach, with the possibility of seizure freedom and neurobehavioral improvements.
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Review Case Reports
Distal anterior choroidal artery aneurysm in a patient with moyamoya disease: case report.
Distal anterior choroidal artery (AChA) aneurysms in moyamoya disease are rare, with few surgically verified reported cases. ⋯ Direct surgery should be considered in cases of ruptured distal AChA aneurysms located in the periventricular or intraventricular regions.