Large hypothalamic hamartoma with calcification and cystic components in an adult--case report.
A 24-year-old female presented with an unusual case of hypothalamic hamartoma manifesting as seizure. Neuroimaging findings were atypical, showing the large tumor (maximum diameter, 50 mm) with a cystic component and calcification. Surgery was performed and histological examination demonstrated heterotopia. Hamartoma should be considered in the differential diagnosis of a suprasellar, non-enhanced mass attached to the hypothalamus. Excessive unnecessary surgery should be avoided, and intraoperative pathological examination may lead to enhanced assessment and better outcomes.
Yamaguchi
Shinya
S
Department of Neurosurgery, Hamanomachi Hospital, Chuou-ku, Fukuoka, Japan.
Suzuki
Satoshi O
SO
Matsuo
Yoshihiro
Y
Uesaka
Toshio
T
Matsukado
Koichiro
K
Masui
Kenta
K
Iwaki
Toru
T
D002114:Calcinosis / Q000175:diagnosis*; D020863:Central Nervous System Cysts / Q000175:diagnosis* / Q000601:surgery; D002828:Choristoma / Q000175:diagnosis / Q000473:pathology; D005260:Female; D006222:Hamartoma / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D007027:Hypothalamic Diseases / Q000175:diagnosis* / Q000601:surgery; D007031:Hypothalamus / Q000473:pathology* / Q000601:surgery; D019635:Neurosurgical Procedures; D011379:Prognosis; D016896:Treatment Outcome; D055815:Young Adult