首页|A Special Approach for Stereotactic Radiofrequency Thermocoagulation of Hypothalamic Hamartomas With Bilateral Attachments to the Hypothalamus: The Transthird Ventricular Approach to the Contralateral Attachment

A Special Approach for Stereotactic Radiofrequency Thermocoagulation of Hypothalamic Hamartomas With Bilateral Attachments to the Hypothalamus: The Transthird Ventricular Approach to the Contralateral Attachment

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BACKGROUND: Disconnection surgery for the treatment of epileptic hypothalamic hamartomas (HHs) is strategically difficult in cases with complex-shaped HHs, especially with bilateral hypothalamic attachments, despite its effectiveness。 OBJECTIVE: To evaluate the feasibility of a new approach for stereotactic radiofrequency thermocoagulation (SRT) using penetration of the third ventricle (SRT-TT) aiming to disconnect bilateral hypothalamic attachments in a single-staged, unilateral procedure。 METHODS; Ninety patients (median age at surgery, 5。0 years) who had HHs with bilateral hypothalamic attachments and were followed for at least 1 year after their last SRT were retrospectively reviewed。

Bilateral attachmentHypothalamic hamartomaStereotactic radiofrequency thermocoagulationThird ventricle

Hiroshi Shirozu、Hsroshi Masuda、Shigeki Kameyama

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Department of Functional Neurosurgery, National Hospital Organization Nishinii-gata Chuo Hospital

2022

Neurosurgery

Neurosurgery

ISTP
ISSN:0148-396X
年,卷(期):2022.91(2)