Hypothalamic hamartoma (HH) is a rare congenital brain malformation that leads to intractable epilepsy. Gelastic seizures (GS) are a hallmark of HH-related epilepsy, but development of other seizure types is possible (Supplementary table). In childhood, epilepsy usually begins with GS, but the seizure duration tends to be shorter than in adults [1]. Herein, we report video-electroencephalogram (EEG) findings of a female infant with HH with long-lasting unique seizure semiology.
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