Surgical resection of hypothalamic hamartomas (HHs) associated with drug-resistant gelastic epilepsy carries a considerable risk of neurological and endocrine morbidity. Alternative surgical routes and techniques have therefore been proposed, especially for broadly attached lesions and for those with a third ventricular location.
Service de neurochirurgie, unité de neurochirurgie pédiatrique, fondation ophtalmologique A-de-Rothschild, 25-29 rue Manin, 75940 Paris cedex 19, France. gdorfmuller@fo-rothschild.fr