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An Undiagnosed Case of Hypothalamic Hamartoma With a Rare Presentation Publisher



Badihian S1 ; Bahrani S1 ; Tabrizi N2 ; Moein H3, 4 ; Zare M1, 4 ; Barekatain M4, 5 ; Basiratnia R4, 6 ; Rahimian E7 ; Mehvari Habibabadi A8 ; Moein P9 ; Mehvari Habibabadi J1, 4
Authors
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Authors Affiliations
  1. 1. Isfahan Neurosciences Research Center, Department of Neurology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
  2. 2. Department of Neurology, Mazandaran University of Medical Sciences, Mazandaran, Iran
  3. 3. Department of Neurosurgery, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
  4. 4. Kashani Comprehensive Epilepsy Center, Kashani Hospital, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
  5. 5. Psychosomatic Research Center, Department of Psychiatry, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
  6. 6. Department of Radiology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
  7. 7. Shefa Neuroscience Research Center, Tehran, Iran
  8. 8. Students' Research Center, School of Medicine, Shahrekord University of Medical Sciences, Shahrekord, Iran
  9. 9. Department of Neurology, University of Tennessee Health Science Center, Memphis, TN, United States

Source: Case Reports in Medicine Published:2017


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. © 2017 Shervin Badihian et al.
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