Zhurnal voprosy neirokhirurgii imeni N. N. Burdenko · 2024
[Hypothalamic hamartoma dissection using focused ultrasound under MRI control. The first successful experience in Russia].
Клинический случайАннотация на английскомСтатьяНазвание и аннотация: Оригинал на русском
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Galimova R M, Illarioshkin S N, Safin Sh M, Buzaev I V, Nabiullina D I, Krekotin D K, Nurmukhametova S R, Sidorova Yu A, Akhmadeeva G N, Kashapov F F, Yakupov T Z, Teregulova D R
Аннотация
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.