Gelastic (laughing) epilepsy is characterized by recurrent unprovoked episodes of stereotyped, brief and mirthless laughter. Hypothalamic hamartoma is most often the cause of gelastic epilepsy. Hypothalamic gelastic epilepsy presenting as a progressive epileptic disease is well known, but isolated without multiple seizure types, precocious puberty, cognitive decline and behavioural problems is not usually reported. We
report a case of refractory gelastic seizures associated with indolent hypothalamic hamartoma and polysyndactyly with a follow-up of 18 years. Our case highlights the possibility of underdiagnosed hypothalamic hamartomas and unrecognised gelastic epilepsy in paediatric
population.
Primary Language | English |
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Subjects | Clinical Sciences |
Journal Section | Case Reports |
Authors | |
Publication Date | January 11, 2012 |
Published in Issue | Year 2011 Volume: 3 Issue: 6 |