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Axial FLAIR (image 1) and sagittal T1 FLAIR MRI images show a hypothalamic hamartoma (arrow). Patients with these lesions classically present with gelastic or laughing seizures. Hypothalamic hamartomas may also cause symptoms such as precocious puberty or behavioral and cognitive difficulties. On imaging, hypothalamic hamartomas are isointense to gray matter on T1-weighted images and hyperintense on T2-weighted images, without enhancement after contrast administration.
64F with known lung CA, now s/p sz and aphasia. Now w new mets to the brain.
Me and my patient were doing "thumbs up" during intraoperation or shall i say "awake brain tumor surgery". The idea is to remove the tumor without damaging the critical parts of the brain with guidance of intraoperative brain mapping and the tumor was located on broca's area.#awakebraintumorsurgery #awakebrainsurgery #brainsurgery
#craniopharyngioma #CNS #HLV #tumor #brain #sellar
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Patient in late teens presenting after a collapse, no chest pain, no previous cardiac history, no history of sudden death in family, are there any features in this EKG that would warrant further work-up or is this just a pediatric EKG?