Case Report
Gelastic Seizures in a Young Boy: Evaluation by Magnetic Resonance Imaging
Irfan Robbania, Tariq Ahmed Bhatb
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. Copyright © 2005 S. Karger AG, Basel
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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
Publication Details
Medical Principles and Practice (International Journal of the Kuwait University Health Sciences Centre)
Vol. 14, No. 3, Year 2005 (Cover Date: May-June 2005)
Journal Editor: Al Awadi, F. (Kuwait)
ISSN: 1011-7571 (print), 1423-0151 (Online) For additional information: http://www.karger.com/mpp
Drug Dosage / Copyright
Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in goverment regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug. Copyright: All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and retrieval system, without permission in writing from the publisher or, in the case of photocopying, direct payment of a specified fee to the Copyright Clearance Center. |
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