Gelastic Seizures in a Young Boy: Evaluation by Magnetic Resonance Imaging

Vol. 14, No. 3, 2005

Free Abstract Article (References) Article (PDF 93 KB)

Case Report

Gelastic Seizures in a Young Boy: Evaluation by Magnetic Resonance Imaging
Irfan Robbani^a, Tariq Ahmed Bhat^b

Departments of
^aRadiodiagnosis and Imaging and
^bGeneral Medicine, Sher-i-Kashmir Institute of Medical Sciences, Srinagar, Kashmir, India

Address of Corresponding Author

Med Princ Pract 2005;14:199-201 (DOI: 10.1159/000084640)

Key Words

Hysteric laughter
Gelastic seizures
Magnetic resonance imaging
Hamartoma
Tuber cinerium
Hypothalamus

Abstract

Objective: To present an interesting case of gelastic seizures in a child who had an underlying brain lesion. Clinical Presentation and Intervention: A 10-year-old boy presented with recurrent episodes of uncontrollable laughter since the age of 6 years. Computed tomography showed a well-defined mass in the region of suprasellar and interpeduncular cisterns. Magnetic resonance imaging revealed a lesion, most likely a hamartoma, arising from the region of tuber cinerium. The lesion was subsequently resected and a marked improvement in the frequency and intensity of seizures was noted. Conclusion: This report shows that neuroimaging should be performed on patients with gelastic seizures to exclude any underlying structural lesion of causal significance.

Author Contacts

Dr. Irfan Robbani
PO Box 255, GPO
Srinagar, Kashmir, J&K (India)
Tel. +91 194 2400573, Mobile +91 90 194 09150
E-Mail irfanrobbani@yahoo.co.in

Article Information

Received: December 14, 2003
Revised: July 25, 2004
Number of Print Pages : 3
Number of Figures : 1, Number of Tables : 0, Number of References : 12

Medline Abstract (ID 15863996)

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