Hypothalamic hamartoma

1024 1024 Constantini Shlomi

Combined microscopic/endoscopic removal of hypothalamic hamartoma

Diagnosis: Hypothalamic hamartoma
  • 16-year-old girl
  • Refractory gelastic seizures
  • MR scan: hypothalamic hamartoma
  • Combined microscopic/endoscopic excision
  • Seizure free at 3 years
  • Aesculap Minop endoscope
  • Craniotomy, interhemispheric approach, callosotomy, access in to the right lateral ventricle
  • Once inside the lateral ventricle, the endoscope is used and advanced in to the third ventricle though the foramen of Monro
  • Removal of the hamartoma piecemeal with the endoscopic biopsy forceps (the operation was performed before the advent of endoscopic CUSA)
Pre op

Constantini Shlomi

Head of Pediatric Neurosurgery, Sourasky Medical Center, Tel Aviv, Israel

All cases by: Constantini Shlomi