Gelastic seizures: not always hypothalamic hamartoma.
Gelastic seizures are often associated with hypothalamic hamartomas. However, focal cortical dysplasias can also cause "laughing seizures", and such cases can be difficult to localize with EEG. This case report presents a 29-year-old woman who was successfully rendered free of gelastic seizures after resection of a frontal cortical dysplasia, localized through MRI and SPECT imaging.[Published with video sequences].
Cheung
Christina S
CS
Epilepsy Programme, Department of Clinical Neurological Sciences, University of Western Ontario, London, Canada.
Parrent
Andrew G
AG
Burneo
Jorge G
JG
D000328:Adult; D003937:Diagnosis, Differential; D004569:Electroencephalography; D004828:Epilepsies, Partial / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000523:psychology; D017034:Epilepsy, Frontal Lobe / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000523:psychology; D005260:Female; D006222:Hamartoma / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000523:psychology; D006801:Humans; D007027:Hypothalamic Diseases / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000523:psychology; D007845:Laughter; D008279:Magnetic Resonance Imaging; D015899:Tomography, Emission-Computed, Single-Photon