An Undiagnosed Case of Hypothalamic Hamartoma with a Rare Presentation
Background. Hypothalamic hamartomas (HHs) are rare tumor-like malformations that may present with complex partial seizures refractory to anticonvulsants in adulthood. The condition may be misdiagnosed because of rarity. Case Presentation. We report a 25-year-old man with complaint of seizures presen...
Saved in:
| Main Authors: | , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2017-01-01
|
| Series: | Case Reports in Medicine |
| Online Access: | http://dx.doi.org/10.1155/2017/2432315 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832561735087685632 |
|---|---|
| author | Shervin Badihian Saeideh Bahrani Nasim Tabrizi Houshang Moein Mohammad Zare Majid Barekatain Reza Basiratnia Elham Rahimian Amirali Mehvari Habibabadi Payam Moein Jafar Mehvari Habibabadi |
| author_facet | Shervin Badihian Saeideh Bahrani Nasim Tabrizi Houshang Moein Mohammad Zare Majid Barekatain Reza Basiratnia Elham Rahimian Amirali Mehvari Habibabadi Payam Moein Jafar Mehvari Habibabadi |
| author_sort | Shervin Badihian |
| collection | DOAJ |
| description | Background. Hypothalamic hamartomas (HHs) are rare tumor-like malformations that may present with complex partial seizures refractory to anticonvulsants in adulthood. The condition may be misdiagnosed because of rarity. Case Presentation. We report a 25-year-old man with complaint of seizures presented by falling, tonic spasm of limbs, oral automatism, vocalization, and hypermotor activities. His seizures started at the age of one month and presented as eye deviation and upper limbs myoclonic jerk, followed by frequent seizures with variable frequency. The patient had delayed developmental milestones and was mentally retarded. He was hospitalized and underwent video-EEG monitoring and neuroimaging, and the diagnosis of HH was made. The patient became candidate for surgery after that. Conclusion. In this case, the underlying etiology of seizures was diagnosed after 25 years. HH is a rare condition and neurologists may encounter very small number of these cases during their practice. Therefore, they should consider it in patients who present with suspected signs and symptoms. |
| format | Article |
| id | doaj-art-d09ce8bd2a384f388a0927f8f345a1fe |
| institution | Kabale University |
| issn | 1687-9627 1687-9635 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Medicine |
| spelling | doaj-art-d09ce8bd2a384f388a0927f8f345a1fe2025-02-03T01:24:23ZengWileyCase Reports in Medicine1687-96271687-96352017-01-01201710.1155/2017/24323152432315An Undiagnosed Case of Hypothalamic Hamartoma with a Rare PresentationShervin Badihian0Saeideh Bahrani1Nasim Tabrizi2Houshang Moein3Mohammad Zare4Majid Barekatain5Reza Basiratnia6Elham Rahimian7Amirali Mehvari Habibabadi8Payam Moein9Jafar Mehvari Habibabadi10Isfahan Neurosciences Research Center, Department of Neurology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, IranIsfahan Neurosciences Research Center, Department of Neurology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, IranDepartment of Neurology, Mazandaran University of Medical Sciences, Mazandaran, IranDepartment of Neurosurgery, School of Medicine, Isfahan University of Medical Sciences, Isfahan, IranIsfahan Neurosciences Research Center, Department of Neurology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, IranKashani Comprehensive Epilepsy Center, Kashani Hospital, School of Medicine, Isfahan University of Medical Sciences, Isfahan, IranKashani Comprehensive Epilepsy Center, Kashani Hospital, School of Medicine, Isfahan University of Medical Sciences, Isfahan, IranShefa Neuroscience Research Center, Tehran, IranStudents’ Research Center, School of Medicine, Shahrekord University of Medical Sciences, Shahrekord, IranDepartment of Neurology, University of Tennessee Health Science Center, Memphis, TN, USAIsfahan Neurosciences Research Center, Department of Neurology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, IranBackground. Hypothalamic hamartomas (HHs) are rare tumor-like malformations that may present with complex partial seizures refractory to anticonvulsants in adulthood. The condition may be misdiagnosed because of rarity. Case Presentation. We report a 25-year-old man with complaint of seizures presented by falling, tonic spasm of limbs, oral automatism, vocalization, and hypermotor activities. His seizures started at the age of one month and presented as eye deviation and upper limbs myoclonic jerk, followed by frequent seizures with variable frequency. The patient had delayed developmental milestones and was mentally retarded. He was hospitalized and underwent video-EEG monitoring and neuroimaging, and the diagnosis of HH was made. The patient became candidate for surgery after that. Conclusion. In this case, the underlying etiology of seizures was diagnosed after 25 years. HH is a rare condition and neurologists may encounter very small number of these cases during their practice. Therefore, they should consider it in patients who present with suspected signs and symptoms.http://dx.doi.org/10.1155/2017/2432315 |
| spellingShingle | Shervin Badihian Saeideh Bahrani Nasim Tabrizi Houshang Moein Mohammad Zare Majid Barekatain Reza Basiratnia Elham Rahimian Amirali Mehvari Habibabadi Payam Moein Jafar Mehvari Habibabadi An Undiagnosed Case of Hypothalamic Hamartoma with a Rare Presentation Case Reports in Medicine |
| title | An Undiagnosed Case of Hypothalamic Hamartoma with a Rare Presentation |
| title_full | An Undiagnosed Case of Hypothalamic Hamartoma with a Rare Presentation |
| title_fullStr | An Undiagnosed Case of Hypothalamic Hamartoma with a Rare Presentation |
| title_full_unstemmed | An Undiagnosed Case of Hypothalamic Hamartoma with a Rare Presentation |
| title_short | An Undiagnosed Case of Hypothalamic Hamartoma with a Rare Presentation |
| title_sort | undiagnosed case of hypothalamic hamartoma with a rare presentation |
| url | http://dx.doi.org/10.1155/2017/2432315 |
| work_keys_str_mv | AT shervinbadihian anundiagnosedcaseofhypothalamichamartomawithararepresentation AT saeidehbahrani anundiagnosedcaseofhypothalamichamartomawithararepresentation AT nasimtabrizi anundiagnosedcaseofhypothalamichamartomawithararepresentation AT houshangmoein anundiagnosedcaseofhypothalamichamartomawithararepresentation AT mohammadzare anundiagnosedcaseofhypothalamichamartomawithararepresentation AT majidbarekatain anundiagnosedcaseofhypothalamichamartomawithararepresentation AT rezabasiratnia anundiagnosedcaseofhypothalamichamartomawithararepresentation AT elhamrahimian anundiagnosedcaseofhypothalamichamartomawithararepresentation AT amiralimehvarihabibabadi anundiagnosedcaseofhypothalamichamartomawithararepresentation AT payammoein anundiagnosedcaseofhypothalamichamartomawithararepresentation AT jafarmehvarihabibabadi anundiagnosedcaseofhypothalamichamartomawithararepresentation AT shervinbadihian undiagnosedcaseofhypothalamichamartomawithararepresentation AT saeidehbahrani undiagnosedcaseofhypothalamichamartomawithararepresentation AT nasimtabrizi undiagnosedcaseofhypothalamichamartomawithararepresentation AT houshangmoein undiagnosedcaseofhypothalamichamartomawithararepresentation AT mohammadzare undiagnosedcaseofhypothalamichamartomawithararepresentation AT majidbarekatain undiagnosedcaseofhypothalamichamartomawithararepresentation AT rezabasiratnia undiagnosedcaseofhypothalamichamartomawithararepresentation AT elhamrahimian undiagnosedcaseofhypothalamichamartomawithararepresentation AT amiralimehvarihabibabadi undiagnosedcaseofhypothalamichamartomawithararepresentation AT payammoein undiagnosedcaseofhypothalamichamartomawithararepresentation AT jafarmehvarihabibabadi undiagnosedcaseofhypothalamichamartomawithararepresentation |