Hypothalamic hamartoma (HH) is usua

Hypothalamic hamartoma (HH) is usually associated with refractory epilepsy, cognitive impairment, and behavioral disturbance. There is now increasing evidence that HH can be treated effectively with a variety of neurosurgical approaches. Treatment options for intractable gelastic seizure in HH patients include direct open surgery with craniotomy, endoscopic surgery, radiosurgery with gamma knife and stereotactic radiofrequency ther-mocoagulation. Selection of treatment modalities depends on type and size of the HH and the surgeon’s preference. Two surgical techniques, resection and disconnection, had been described with favorable outcomes. Pretreatment evaluation, patient selection, surgical techniques, com¬plications, and possible selection of treatment are discussed.

結果 (中文) 1:

下丘脑错构瘤 (HH) 是通常与难治性癫痫、 认知障碍和行为障碍。还有现在越来越多的证据，HH 可以有效地处理各种神经外科方法。难治性痴扣押 HH 患者的治疗选择包括直接开放手术与开颅术、 鼻内镜手术、 放射与伽玛刀立体定向射频热-mocoagulation。治疗方法的选择取决于外科医生的偏好和 HH 的类型和大小。两种手术方法，切除及断流，一直描述与有利的结果。讨论了预处理的评价、 病人的选择、 手术技术、 com¬plications 和可能的选择的治疗。

結果 (中文) 3:

Hypothalamic hamartoma（HH）通常是难治性癫痫患者，相关的认知障碍，行为障碍。现在有越来越多的证据表明，HH可与各种手术入路治疗有效。难治性痴笑发作HH患者的治疗选择包括直接开放手术，开颅手术，鼻内窥镜手术、伽玛刀立体定向放射外科治疗和射频治疗mocoagulation。治疗方式的选择取决于类型和大小的HH和外科医生的偏好。两种手术技术，切除和断开，已被描述与良好的结果。预评价、患者选择、手术技术、COM¬并发症和治疗可能的选择进行了讨论。