[Complications after transcallosal transseptal interforniceal resection of hypothalamic hamartoma: analysis of 37 cases].
OBJECTIVE
To summarize the post-operative complications of resection of hypothalamic hamartoma (HH) through transcallosal transseptal interforniceal approach.


METHODS
Thirty-seven HH patients, 26 males and 11 females, aged 8.7 underwent resection of the tumor via the transcallosal transseptal interforniceal approach. The symptoms and blood electrolytes were observed.


RESULTS
After operation blood electrolyte test showed that 8 cases were normal, 19 cases showed hyponatremia as prime abnormality, and 10 cases had hypernatremia primarily. Among the 19 cases with hyponatremia transient apathy occurred in 2 cases, general epilepsy occurred in one patient, continuous minor epilepsy occurred in another one, 4 patients suffered minor epilepsy, 25 had fever the temperature of 3 of which were beyond 40 degrees C, and 2 had transient diabetes insipidus and 1 had diabetes.


CONCLUSIONS
Resection of HH through the transcallosal transseptal interforniceal approach achieves significant improvement of gelastic seizures with fewer complications. The most common complication is disturbance of serum natrium, which, however, is mild and well managed.
Yao
Hong-xin
HX
Department of Neurosurgery, Beijing Tiantan Hospital, Beijing 100050, China.
Luo
Shi-qi
SQ
Ma
Zhen-yu
ZY
Zhang
Yu-qi
YQ
Jia
Ge
G
D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D003337:Corpus Callosum / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006222:Hamartoma / Q000601:surgery*; D006801:Humans; D007027:Hypothalamic Diseases / Q000473:pathology / Q000601:surgery*; D007223:Infant; D008297:Male; D019635:Neurosurgical Procedures / Q000009:adverse effects* / Q000379:methods; D011183:Postoperative Complications; D012688:Septum Pellucidum / Q000601:surgery; D016896:Treatment Outcome; D055815:Young Adult