Hypothalamic hamartoma

Case contributed by Samantha Scott , 12 Feb 2023
Diagnosis certain
Changed by Mohamed Saber, 15 Feb 2023
Disclosures - updated 17 Aug 2022: Nothing to disclose
Hidden edits. Some edits not affecting the appearance of this case have been suppressed.

Updates to Case Attributes

Status changed from pending review to published (public).
Published At was set to .
Diagnostic Certainty was set to .
Presentation was changed:
Patient presents with gelasticGelastic seizures.
Age changed from 3 to 3 years.
Body was changed:

This is the typical appearance of a hypothalamic hamartoma on MRI which was proven pathologically following biopsy.

Co Author-Author: Daniel P. Gewolb, MD

  • -<p>This is the typical appearance of a hypothalamic hamartoma on MRI which was proven pathologically following biopsy. </p><p>Co Author: Daniel P. Gewolb, MD</p>
  • +<p>This is the typical appearance of a hypothalamic hamartoma on MRI which was proven pathologically following biopsy.</p><p>Co-Author: Daniel P. Gewolb, MD</p>

References changed:

  • Wachtel A. Etiology and Epileptogenesis of Hypothalamic Hamartomas: Opening the Door. Barrow Neurological Institute. Accessed February 12, 2023. https://www.barrowneuro.org/for-physicians-researchers/education/grand-rounds-publications-media/barrow-quarterly/volume-20-no-1-2004/etiology-epileptogenesis-hypothalamic-hamartomas-opening-door-2/

Updates to Quizquestion Attributes

Answer was changed:
Gelastic (laughing) phenotype.

Updates to Quizquestion Attributes

Answer was changed:
Chiasmatic/hypothalamic astrocytomas are typically of higher signal on T2/FLAIR and often show enhancement. Additionally, astrocytomas are more likely to extend into the optic pathways and are more common in patients with neurofibromatosis 1.

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