[Hypothalamic hamartoma dissection using focused ultrasound under MRI control. The first successful experience in Russia].
R M GalimovaSergey Nikolaevich IllarioshkinShamil SafinIgor Vyacheslavovich BuzaevD I NabiullinaD K KrekotinS R NurmukhametovaYu A SidorovaG N AkhmadeevaF F KashapovT Z YakupovD R TeregulovaPublished in: Zhurnal voprosy neirokhirurgii imeni N. N. Burdenko (2024)
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.
Keyphrases
- magnetic resonance imaging
- contrast enhanced
- drug resistant
- diffusion weighted imaging
- radiofrequency ablation
- multidrug resistant
- computed tomography
- magnetic resonance
- acinetobacter baumannii
- single cell
- small cell lung cancer
- cystic fibrosis
- depressive symptoms
- multiple sclerosis
- white matter
- resting state
- functional connectivity