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 INVITED REVIEW
Year : 2008  |  Volume : 3  |  Issue : 1  |  Page : 88-93

Surgical considerations in the management of gelastic seizures


1 Department of Neurosurgery, Bombay Hospital Institute of Medical Sciences and B.J. Wadia Hospital for Children, Mumbai - 400 012, India
2 Department of Paediatric Neurosurgery, Bombay Hospital Institute of Medical Sciences and B.J. Wadia Hospital for Children, Mumbai - 400 012, India

Correspondence Address:
C E Deopujari
Room No. 126-B, 1st Floor MRC, 12, New Marine Lines, Mumbai - 400 020
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1817-1745.40595

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Gelastic or laughter seizures have been poorly understood but are a classic seizure entity. Though rare, gelastic seizures have been described most often in association with hypothalamic hamartomas. No effective medical therapy is available to control these gelastic seizures and early individualized surgical management remains the mainstay. Current opinion on the pathophysiology, evaluation and current management of the poorly understood entity of gelastic seizures is reviewed along with various surgical procedures for hypothalamic hamartoma.






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