{"id":4042,"date":"2013-09-17T06:36:25","date_gmt":"2013-09-16T21:36:25","guid":{"rendered":"\/sawamura\/?p=4042"},"modified":"2019-06-07T16:45:31","modified_gmt":"2019-06-07T07:45:31","slug":"hamartoma","status":"publish","type":"post","link":"https:\/\/plaza.umin.ac.jp\/sawamura\/pediattumor\/hamartoma\/","title":{"rendered":"\u8996\u5e8a\u4e0b\u90e8\u904e\u8aa4\u816b  hypothalamic hamartoma"},"content":{"rendered":"<h5><a title=\"\u904e\u8aa4\u816b hamartomatous neuronal glial tumor\" href=\"\/sawamura\/pediattumor\/hamartomas\/\">\u8133\u306e\u904e<\/a><a title=\"\u904e\u8aa4\u816b hamartomatous neuronal glial tumor\" href=\"\/sawamura\/pediattumor\/hamartomas\/\">\u8aa4\u816b\u306b\u306f\u3044\u308d\u3044\u308d\u3042\u3063\u3066\uff0c\u4ed6\u306e\u904e\u8aa4\u816b\u306b\u95a2\u3057\u3066\u306f\u5225\u306b\u66f8\u3044\u3066\u3042\u308a\u307e\u3059\u306e\u3067\uff0c\u3053\u3053\u3092\u30af\u30ea\u30c3\u30af\u3057\u3066\u4e0b\u3055\u3044<\/a><\/h5>\n<h4><strong>\u7070\u767d\u9686\u8d77\u904e\u8aa4\u816b \u00a0tuber cinereum hamartoma\u3068\u3082\u3044\u3044\u307e\u3059<\/strong><\/h4>\n<ul>\n<li>\u7b2c\uff13\u8133\u5ba4\u306e\u5e8a\uff0c<span style=\"color: #000080;\"><strong><a style=\"color: #000080;\" title=\"\u8996\u5e8a\u4e0b\u90e8\u3068\u4e0b\u5782\u4f53\u306e\u89e3\u5256\u56f3\u3067\u3059\" href=\"\/sawamura\/anatomys\/hypothlpituitary\/\">\u8996\u5e8a\u4e0b\u90e8<\/a>\u5e95\u90e8\u306e\u7070\u767d\u9686\u8d77 tuber cinereum<\/strong><\/span> \u3068\u3044\u3046\u3068\u3053\u308d\u306b\u3067\u304d\u307e\u3059<\/li>\n<li>\u816b\u760d\u3067\u306f\u306a\u304f\u3066\u5148\u5929\u5947\u5f62\uff08<span style=\"color: #000080;\"><strong>\u8133\u306e\u5f62\u6210\u7570\u5e38<\/strong><\/span>\uff09\u3067\u3059<\/li>\n<li>\u5b50\u3069\u3082\u306e\u8133\u306e\u6210\u9577\u3068\u540c\u3058\u65e9\u3055\u3067\u306f\u5927\u304d\u304f\u306a\u308a\u307e\u3059<\/li>\n<li>\u816b\u760d\u3068\u306f\u9055\u3046\u306e\u3067<strong><span style=\"color: #000080;\">\u6301\u7d9a\u7684\u306b\u306f\u5897\u5927\u3057\u307e\u305b\u3093<\/span><\/strong><\/li>\n<li>\u304b\u306a\u308a\u5927\u304d\u304f\u3066\u3082\u75c7\u72b6\u3092\u307e\u3063\u305f\u304f\u51fa\u3055\u306a\u3044\u3082\u306e\u3082\u3042\u308a\u307e\u3059<\/li>\n<li>\u767a\u75c7\u3059\u308b\u306e\u306f\u5c0f\u5150\u671f\u3067\u3059<\/li>\n<li><span style=\"color: #000080;\"><strong>\u7b11\u3044\u767a\u4f5c gelastic seizure \u306a\u3069\u306e\u7279\u6b8a\u306a\u3066\u3093\u304b\u3093\u767a\u4f5c<\/strong><\/span>\u3084<span style=\"color: #000080;\"><strong>\u601d\u6625\u671f\u65e9\u767a\u75c7<\/strong><\/span>\u3067\u767a\u75c7\u3057\u307e\u3059<\/li>\n<li>\u601d\u6625\u671f\u65e9\u767a\u75c7\u306e\u6cbb\u7642\u306f\u307e\u305a\u85ac\u7269\u6cbb\u7642\u3067\u3059<\/li>\n<li>\u3066\u3093\u304b\u3093\u767a\u4f5c\u304c\u7d9a\u304f\u3068\uff0c\u7cbe\u795e\u767a\u9054\u9045\u6ede\uff0c\u8a8d\u77e5\u6a5f\u80fd\u4f4e\u4e0b\uff0c\u6fc0\u6012\u3057\u3084\u3059\u3044\u306a\u3069\u306e\u884c\u52d5\u7570\u5e38 rage attacks \u3092\u751f\u3058\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059<\/li>\n<li>\u5b66\u7fd2\u969c\u5bb3\uff0c\u7121\u95a2\u5fc3\uff0c\u793e\u4f1a\u9069\u5408\u6027\u306e\u4f4e\u4e0b\u306a\u3069\u3067\u3059<\/li>\n<li><strong><span style=\"color: #000080;\">\u7cbe\u795e\u8a8d\u77e5\u969c\u5bb3\u304c\u9032\u884c\u3059\u308b\u5b50\u3069\u3082\u3067\u306f\u5916\u79d1\u7684\u6cbb\u7642<\/span><\/strong>\u3092\u884c\u3044\u307e\u3059<\/li>\n<\/ul>\n<h5>\u5c0f\u3055\u306a\u5178\u578b\u7684\u306a\u8996\u5e8a\u4e0b\u90e8\u904e\u8aa4\u816b<\/h5>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2013\/09\/hypothalamichamarum12.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-6403\" title=\"hypothalamichamarum1\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2013\/09\/hypothalamichamarum12-200x200.jpg\" alt=\"\" width=\"200\" height=\"200\" \/><\/a><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2013\/09\/hypothalamichamarum32.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-6406\" title=\"hypothalamichamarum3\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2013\/09\/hypothalamichamarum32-200x200.jpg\" alt=\"\" width=\"200\" height=\"200\" \/><\/a><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2013\/09\/hypothalamichamarum22.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-6407\" title=\"hypothalamichamarum2\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2013\/09\/hypothalamichamarum22-200x200.jpg\" alt=\"\" width=\"200\" height=\"200\" \/><\/a><\/p>\n<p>\u7121\u75c7\u5019\u3067\u767a\u898b\u3055\u308c\u305fpedunculated type\u3067\u3059\u3002\u8996\u5e8a\u4e0b\u90e8\u306e\u5e95\u9762\u304b\u3089\u3076\u3089\u4e0b\u304c\u308b\u3088\u3046\u306b\u3057\u3066\u3042\u308a\u307e\u3059\u3002\u5de6\u306eCISS\u753b\u50cf\u3067\u5f62\u304c\u3088\u304f\u308f\u304b\u308a\u307e\u3059\u3002\u4e2d\u592e\u306eT1\u3067\u306f\u7070\u767d\u8cea\u3068\u7b49\u4fe1\u53f7\u3067\u3059\u3002\u53f3\u306eT2\u3067\u306f\u9ad8\u4fe1\u53f7\u3068\u306a\u3063\u3066\u3044\u307e\u3059\u3002<\/p>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2013\/09\/hypothalamichamarum4.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-6411\" title=\"hypothalamichamarum4\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2013\/09\/hypothalamichamarum4-295x300.jpg\" alt=\"\" width=\"295\" height=\"300\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/09\/hypothalamichamarum4-295x300.jpg 295w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/09\/hypothalamichamarum4.jpg 425w\" sizes=\"auto, (max-width: 295px) 100vw, 295px\" \/><\/a><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2013\/09\/hypothalamichamarum5.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-6412\" title=\"hypothalamichamarum5\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2013\/09\/hypothalamichamarum5-291x300.jpg\" alt=\"\" width=\"291\" height=\"300\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/09\/hypothalamichamarum5-291x300.jpg 291w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/09\/hypothalamichamarum5.jpg 425w\" sizes=\"auto, (max-width: 291px) 100vw, 291px\" \/><\/a><\/p>\n<p>\u4e73\u982d\u4f53\uff08\u77e2\u5370\uff09\u304b\u3089\u306f\u96e2\u308c\u3066\u3044\u308b\u30bf\u30a4\u30d7\u3067\u3059\u3002\u3067\u3059\u304b\u3089\u7b11\u3044\u767a\u4f5c\u3092\u751f\u3058\u307e\u305b\u3093\u3002\u53f3\u5074\u306e\u30ac\u30c9\u30ea\u30cb\u30a6\u30e0\u5897\u5f37\u753b\u50cf\u3067\u306f\u307e\u3063\u305f\u304f\u5897\u5f37\u3055\u308c\u3066\u3044\u306a\u3044\u306e\u304c\u7279\u5fb4\u3067\u3059\u3002<\/p>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2013\/09\/hypothalamichamarum7.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-6449\" title=\"hypothalamichamarum7\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2013\/09\/hypothalamichamarum7-297x300.jpg\" alt=\"\" width=\"297\" height=\"300\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/09\/hypothalamichamarum7-297x300.jpg 297w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/09\/hypothalamichamarum7.jpg 425w\" sizes=\"auto, (max-width: 297px) 100vw, 297px\" \/><\/a><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2013\/09\/hypothalamichamarum6.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-6450\" title=\"hypothalamichamarum6\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2013\/09\/hypothalamichamarum6-291x300.jpg\" alt=\"\" width=\"291\" height=\"300\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/09\/hypothalamichamarum6-291x300.jpg 291w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/09\/hypothalamichamarum6.jpg 425w\" sizes=\"auto, (max-width: 291px) 100vw, 291px\" \/><\/a><\/p>\n<p>\u3053\u306e\u4f8b\u306f\u73cd\u3057\u3044\u306e\u3067\u3059\u304c\uff0c\u6a4b pons\u306b\u3082\u830e pedicle\u3092\u6709\u3059\u308b\u30bf\u30a4\u30d7\u3067\u3059\u3002<\/p>\n<h4>\u75c5\u7406<\/h4>\n<ul>\n<li>100\u4e07\u4eba\u306b\u4e00\u4eba\u304f\u3089\u3044\u306e\u767a\u751f\u7387\u3067\u3059<\/li>\n<li><strong><span style=\"color: #000080;\">\u598a\u5a20\u65e9\u671f\u306e5\u9031\u3081\u304b\u3089\uff16\u9031\u76ee\u304f\u3089\u3044\u306b\u5f62\u6210<\/span><\/strong>\u3055\u308c\u307e\u3059<\/li>\n<li>\u7070\u767d\u9686\u8d77\u3067\u3082\u7279\u306b\u5f8c\u534a\u90e8\u5206\uff0c\u4e0b\u5782\u4f53\u67c4 piutitary stalk \u3068\u4e73\u982d\u4f53 mamillary bodies \u306e\u9593\u306b\u3067\u304d\u307e\u3059<\/li>\n<li>10mm &#8211; 20mm\u304f\u3089\u3044\u306e\u3082\u306e\u307b\u3068\u3093\u3069\u3067\u3059\u304c\uff0c40mm\u304f\u3089\u3044\u306e\u5de8\u5927\u306a\u3082\u306e\u307e\u3067\u3042\u308a\u307e\u3059<\/li>\n<li>\u7570\u5e38\u306a\u795e\u7d4c\u7d30\u80de\u3068\u795e\u7d4c\u81a0\u7d30\u80de\u3067\u69cb\u6210\u3055\u308c\u308b\u7070\u767d\u8cea\u306e\u904e\u5f62\u6210\u3067\u3059<\/li>\n<li>\u3053\u306e\u795e\u7d4c\u7d30\u80de (epileptogenic focus)\u00a0\u304b\u3089\u7570\u5e38\u306a\u4fe1\u53f7\u304c\u3067\u308b\u3068\u767a\u4f5c\u306b\u306a\u308a\u307e\u3059<\/li>\n<li>\u307e\u305f\uff0c\u6027\u817a\u523a\u6fc0\u30db\u30eb\u30e2\u30f3 (\u6b63\u78ba\u306b\u306f\u3055\u3089\u306b\u4e0a\u4f4d\u306eGnRH)\u00a0\u304c\u5206\u6ccc\u3055\u308c\u308b\u3068\u601d\u6625\u671f\u65e9\u767a\u75c7\u306b\u306a\u308a\u307e\u3059<\/li>\n<li>\u884c\u52d5\u969c\u5bb3\u3067\u767a\u75c7\u3059\u308b\u5b50\u3069\u3082\u3082\u3044\u307e\u3059<\/li>\n<\/ul>\n<h4>\u75c7\u72b6<\/h4>\n<ul>\n<li>\u4f55\u306e\u75c7\u72b6\u3082\u51fa\u3055\u306a\u3044\u7121\u75c7\u72b6\u306e\u3082\u306e\u3082\u591a\u3044\u3067\u3059<\/li>\n<li>\u75c7\u72b6\u304c\u51fa\u308b\u5834\u5408\u306f\uff0c<strong><span style=\"color: #000080;\">\u5c0f\u5150\u671f\u306b\u767a\u75c7<\/span><\/strong>\u3057\u307e\u3059<\/li>\n<li>\u4e73\u5e7c\u5150\u671f\u304b\u3089\u306f\u3058\u307e\u308b<span style=\"color: #ff0000;\"><strong>\u7b11\u3044\u767a\u4f5c gelastic seizure<\/strong><\/span>, laughing seizure \u00a0\u304c\u6700\u3082\u91cd\u8981\u306a\u75c7\u72b6\u3067\u3059<\/li>\n<li>\u6c88\u3093\u3060\u69d8\u5b50\u306e\u3042\u3068\u3067\u7a81\u7136\u7406\u7531\u3082\u306a\u304f\u7b11\u3063\u3066\u3057\u307e\u3046\u3082\u306e\u3067\u3059<\/li>\n<li>\u6ce3\u3044\u3066\u3044\u308b\u3088\u3046\u306b\u307f\u3048\u308b\u3053\u3068\u3082\u3042\u308a\u307e\u3059\u00a0dacrystic seizure<\/li>\n<li>\u6570\u79d2\u304b\u3089\u6570\u5341\u79d2\u5358\u4f4d\u306e\u77ed\u3044\u3082\u306e\u3067\u3059<\/li>\n<li>\u3053\u306e\u7b11\u3044\u767a\u4f5c\u306f\u5e74\u9577\u5150\u306b\u306a\u308b\u3068\u81ea\u5206\u3067\u6291\u5236\u3059\u308b\u3053\u3068\u304c\u3067\u304d\u307e\u3059\u304b\u3089\uff0c\u8868\u9762\u7684\u306b\u306f\u76ee\u7acb\u305f\u306a\u304f\u306a\u308a\u307e\u3059<\/li>\n<li><strong><span style=\"color: #000080;\">\uff14\u2212\uff17\u6b73\u304f\u3089\u3044\u3067\u884c\u52d5\u969c\u5bb3<\/span><\/strong><span style=\"color: #000000;\"> behavioral disorder \u304c\u7d9a\u767a\u3057\u307e\u3059<\/span><\/li>\n<li>\u305d\u306e\u5f8c\u306b\u7cbe\u795e\u767a\u9054\u9045\u6ede\uff0c\u8a8d\u77e5\u6a5f\u80fd\u969c\u5bb3\uff0c\u7cbe\u795e\u75c7\u72b6\u304c\u751f\u3058\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059<\/li>\n<li>\u7cbe\u795e\u75c7\u72b6\u304c\u306a\u304f\u8efd\u75c7\u306e\u7b11\u3044\u767a\u4f5c\u3060\u3051\u3067\u7d4c\u904e\u3059\u308b\u5c0f\u5150\u3082\u3044\u307e\u3059<\/li>\n<li><span style=\"color: #000000;\">\u4e00\u65b9\u3067\uff0c<\/span><strong><span style=\"color: #ff0000;\">\u601d\u6625\u671f\u65e9\u767a\u75c7<\/span><\/strong> precocious puberty \u3068\u3044\u3046\u6027\u65e9\u719f\u3067\u767a\u75c7\u3059\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059<\/li>\n<li>\u5973\u5150\u306e\u5834\u5408\u306f\u4e73\u5e7c\u5150\u306e\u6642\u306b\u4e73\u623f\u306e\u767a\u9054\uff0c\u6065\u6bdb\u3084\u8107\u6bdb\u306e\u767a\u80b2\uff0c\u6708\u7d4c\u304c\u59cb\u307e\u308b\u306e\u3067\u308f\u304b\u308a\u307e\u3059\u304c\uff0c\u7537\u5150\u306f\u5e74\u9577\u6642\u306b\u306a\u3089\u306a\u3044\u3068\u306f\u3063\u304d\u308a\u3057\u306a\u3044\u3053\u3068\u304c\u3042\u308a\u307e\u3059<\/li>\n<li>\u601d\u6625\u671f\u65e9\u767a\u3060\u3051\u3067\u884c\u52d5\u767a\u9054\u969c\u5bb3\u304c\u751f\u3058\u306a\u3044\u60a3\u5150\u3082\u591a\u3044\u3067\u3059<\/li>\n<\/ul>\n<h4>MRI\u8a3a\u65ad<\/h4>\n<ul>\n<li><span style=\"color: #000080;\"><strong>\u4e0b\u5782\u4f53\u67c4\u306e\u4ed8\u3051\u6839\uff0c\u4e73\u982d\u4f53\u306e\u524d\u3067\uff0c\u8996\u5e8a\u4e0b\u90e8\u304b\u3089\u4e0b\u65b9\uff08\u811a\u9593\u69fd\uff09\u306b\u7a81\u51fa\u3059\u308b\u584a<\/strong><\/span> mass\u3067\u3059<\/li>\n<li>\u5de6\u53f3\u3069\u3061\u3089\u304b\u306b\u504f\u308b\u3082\u306e\u304c\u591a\u3044\u3067\u3059<\/li>\n<li>T1\u5f37\u8abf\u753b\u50cf\u3067\uff0c\u7070\u767d\u8cea\u3068\u7b49\u4fe1\u53f7\u306b\u306a\u308a\uff0c<strong><span style=\"color: #000080;\">\u30ac\u30c9\u30ea\u30cb\u30a6\u30e0\u5897\u5f37\u3055\u308c\u307e\u305b\u3093<\/span><\/strong><\/li>\n<li>T2\u5f37\u8abf\u753b\u50cf\u3067\u306f\u3084\u3084\u9ad8\u4fe1\u53f7\u3068\u306a\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059<\/li>\n<li>\u5927\u304d\u306a\u3082\u306e\u3067\u306f\u8996\u5e8a\u4e0b\u90e8\u3068\u306e\u5883\u754c\u306f\u4e0d\u660e\u77ad\u3067\u3059\u304c\uff0c\u57fa\u672c\u7684\u306b\u6955\u5186\u5f62\u3067\u3042\u308a\uff0c\u4e0d\u6574\u5f62\u3084\u591a\u623f\u6027\u306a\u3069\u306b\u306a\u308a\u307e\u305b\u3093<\/li>\n<li>\u6570cm\u3092\u8d8a\u3048\u308b\u5de8\u5927\u306a\u3082\u306e\u3067\u306f\u816b\u760d\u5185\u306e\u3046\u80de\u3092\u5f62\u6210\u3059\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059<\/li>\n<li>\u601d\u6625\u671f\u65e9\u767a\u3092\u3060\u3059\u3082\u306e\u306f\uff0c\u4e0b\u5782\u4f53\u67c4\u306e\u4ed8\u3051\u6839\u306b\u4e3b\u5ea7\u304c\u3042\u308a\u307e\u3059<\/li>\n<li>\u7b11\u3044\u767a\u4f5c\u3092\u3060\u3059\u3082\u306e\u306f\uff0c\u4e0b\u5782\u4f53\u67c4\u3088\u308a\u5f8c\u308d\u5074\u306e\u4e73\u982d\u4f53\u306b\u8fd1\u3044\u90e8\u5206\u306b\u3042\u308a\u307e\u3059<\/li>\n<li>\u4e21\u65b9\u306e\u75c7\u72b6\u3092\u51fa\u3059\u3082\u306e\u306f\u4ed8\u3051\u6839\u304c\u5e83\u304f\u3066 sessile type\uff0c\u5927\u304d\u306a\u3082\u306e\u304c\u591a\u3044\u304b\u3082\u3057\u308c\u307e\u305b\u3093<\/li>\n<\/ul>\n<h4>\u601d\u6625\u671f\u65e9\u767a\u75c7\u306e\u6cbb\u7642<\/h4>\n<ul>\n<li><strong><span style=\"color: #000080;\">\u751f\u6b96\u817a\u523a\u6fc0\u30db\u30eb\u30e2\u30f3\u653e\u51fa\u30db\u30eb\u30e2\u30f3\u62ee\u6297\u5264<\/span><\/strong> gonadotropin-releasing hormone \u00a0(GnRH) agonists \u3067\u6cbb\u7642\u3067\u304d\u307e\u3059<\/li>\n<li><strong><span style=\"color: #ff0000;\">\u30ea\u30e5\u30fc\u30d7\u30ea\u30f3<\/span><\/strong>\uff08\u9162\u9178\u30ea\u30e5\u30fc\u30d7\u30ed\u30ec\u30ea\u30f3\uff09\u3068\u3044\u3046\u85ac\u5264\u304c\u6709\u540d\u3067\u3059<\/li>\n<\/ul>\n<h4>\u7b11\u3044\u767a\u4f5c\u306e\u6cbb\u7642<\/h4>\n<ul>\n<li>\u85ac\u7269\u6cbb\u7642\u3092\u3057\u307e\u3059\u304c\u6cbb\u7642\u62b5\u6297\u6027\u3067\u3059<\/li>\n<li>\u75c7\u72b6\u3092\u307f\u3066\u5916\u79d1\u6cbb\u7642 surgical intervention \u3092\u691c\u8a0e\u3059\u308b\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059<\/li>\n<li>\u3057\u304b\u3057\uff0c<strong><span style=\"color: #000080;\">\u305d\u306e\u6642\u671f\u304c\u96e3\u3057\u3044<\/span><\/strong>\u3068\u8a00\u3048\u307e\u3059<\/li>\n<li>\u75c7\u72b6\u304c\u8efd\u3044\u6642\u306b\u9032\u884c\u3092\u4e88\u9632\u3059\u308b\u3088\u3046\u306a\u5916\u79d1\u6cbb\u7642\u306f\u3055\u308c\u306a\u304f\u306a\u3063\u3066\u304d\u307e\u3057\u305f<\/li>\n<li>\u77ed\u6642\u9593\u3067\u983b\u5ea6\u306e\u4f4e\u3044\u7b11\u3044\u767a\u4f5c\u3060\u3051\u3067\u306f\u5916\u79d1\u6cbb\u7642\u3092\u3057\u307e\u305b\u3093<\/li>\n<li>\u306a\u305c\u306a\u3089\uff0c\u5916\u79d1\u6cbb\u7642\u306e\u5408\u4f75\u75c7\u306f\u91cd\u7be4\u306a\u3082\u306e\u304c\u591a\u3044\u306e\u3067\uff0c<span style=\"color: #ff0000;\"><strong>\u7cbe\u795e\u795e\u7d4c\u75c7\u72b6\u306e\u91cd\u75c7\u5316\u304c\u8d77\u3053\u308a\u305d\u3046\u306a\u6642<\/strong><\/span>\u306b\u8003\u616e\u3057\u307e\u3059<\/li>\n<li>\u4e8c\u6b21\u6027\u3066\u3093\u304b\u3093\u539f\u6027\u306e\u7372\u5f97\u306e\u524d\u306b\u5916\u79d1\u624b\u8853\u3092\u3057\u305f\u307b\u3046\u304c\u7d9a\u767a\u6027\u3066\u3093\u304b\u3093\u767a\u4f5c\u304c\u96e3\u6cbb\u6027\u306b\u306a\u3089\u306a\u3044\u3068\u3044\u3046\u610f\u898b\u3082\u3042\u308a\u307e\u3059<\/li>\n<li>\u4e00\u65b9\u3067\uff0c\u5916\u79d1\u624b\u8853\u3092\u3059\u308b\u306e\u3067\u3042\u308c\u3070\uff0c<span style=\"color: #000080;\"><strong>\u60a3\u5150\u306e\u5e74\u9f62\u304c\u4f4e\u3044\u307b\u3046\u304c\u767a\u4f5c\u306e\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\u5272\u5408\u304c\u9ad8\u3044<\/strong><\/span>\u3053\u3068\u3082\u77e5\u3089\u308c\u3066\u3044\u307e\u3059<\/li>\n<li>\u304b\u3064\u3066\u306f\u958b\u982d\u624b\u8853\u6458\u51fa\u8853\u304c\u306a\u3055\u308c\u307e\u3057\u305f\u304c\u73fe\u5728\u306f\u3042\u307e\u308a\u884c\u308f\u308c\u307e\u305b\u3093\u7406\u7531\u306f\u8996\u5e8a\u4e0b\u90e8\u306e\u624b\u8853\u304c\u3042\u307e\u308a\u306b\u3082\u96e3\u3057\u3044\u304b\u3089\u3067\u3059<\/li>\n<li>2000\u5e74\u9803\u304b\u3089\u5f90\u3005\u306b\u30ac\u30f3\u30de\u30ca\u30a4\u30d5\u3084\u5b9a\u4f4d\u8133\u624b\u8853\u304c\u767a\u9054\u3057\u3066\u304d\u307e\u3057\u305f<\/li>\n<\/ul>\n<h5>\u5916\u79d1\u7684\u6cbb\u7642\u306f\u8996\u5e8a\u4e0b\u90e8\u306b\u6a5f\u80fd\u969c\u5bb3\u3092\u751f\u3058\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059<br \/>\n<a href=\"https:\/\/plaza.umin.ac.jp\/sawamura\/braintumors\/hypothdysfunction\/\">\u8996\u5e8a\u4e0b\u90e8\u969c\u5bb3\u306f\u4ed6\u306e\u30da\u30fc\u30b8\u3092\u898b\u3066\u304f\u3060\u3055\u3044\uff0c\u3053\u3053\u3092\u30af\u30ea\u30c3\u30af<\/a><\/h5>\n<hr \/>\n<h4>\u30ac\u30f3\u30de\u30ca\u30a4\u30d5 \u653e\u5c04\u7dda\u5916\u79d1\u6cbb\u7642<\/h4>\n<ul>\n<li>\u5168\u8eab\u9ebb\u9154\u4e0b\u306e<span style=\"color: #000080;\"><strong>\u5b9a\u4f4d\u653e\u5c04\u7dda\u5916\u79d1 stereotactic radiosurgery SRT<\/strong><\/span>\u00a0\u306b\u3088\u3063\u3066\u8996\u5e8a\u4e0b\u90e8\u904e\u8aa4\u816b\u3092\u7834\u58ca\u3059\u308b\u65b9\u6cd5\u3067\u3059<\/li>\n<li>\u5b89\u5168\u6027\u306f\u9ad8\u3044\u6cbb\u7642\u6cd5\u3067\uff0c\u4e00\u56de\u306e\u6cbb\u7642\u3067\u3059\u307f\u307e\u3059<\/li>\n<li>\u7167\u5c04\u5f8c\u4e00\u6642\u7684\u306b\u4f53\u6e29\u8abf\u7bc0\u306e\u4e0d\u826f\u3068\u3066\u3093\u304b\u3093\u306e\u983b\u5ea6\u304c\u5897\u3059\u3053\u3068\u304c\u3042\u308a\u307e\u3059<\/li>\n<li>\u52b9\u679c\u304c\u73fe\u308c\u308b\u307e\u3067\u306b\u6642\u9593\u304c\u304b\u304b\u308b\u3053\u3068\u304c\u6b20\u70b9\u3067\u3059<\/li>\n<li><span style=\"color: #000080;\"><strong>\u52b9\u679c\u73fe\u308c\u308b\u307e\u3067\u306b\u534a\u5e74\u304b\u30893\u5e74\u307b\u3069<\/strong><\/span>\u5f85\u3064\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059<\/li>\n<li>\u3067\u3059\u304b\u3089\u75c7\u72b6\u306e\u9032\u884c\u304c\u8457\u3057\u304f\u306a\u3044\u3086\u3063\u304f\u308a\u3057\u305f\u60a3\u8005\u3055\u3093\u306b\u9069\u3057\u3066\u3044\u307e\u3059<\/li>\n<li>\u30ac\u30f3\u30de\u30ca\u30a4\u30d5\u3067\u3066\u3093\u304b\u3093\u304c\u6d88\u5931\u3059\u308b\u306e\u306f\uff13\u2212\uff14\u5272\u7a0b\u5ea6\u306e\u60a3\u8005\u3055\u3093\u3067\u307f\u3089\u308c\u308b\u3068\u3044\u3046\u3053\u3068\u3067\u3059<\/li>\n<li><span style=\"color: #000080;\"><strong>\u8996\u5e8a\u4e0b\u90e8\u969c\u5bb3\u304c\u6570\u5e74\u7d4c\u3063\u3066\u304b\u3089\u73fe\u308c\u308b<\/strong><\/span>\u3053\u3068\u3082\u3042\u308a\uff0c\u4ee5\u4e0b\u306e\u6cbb\u7642\u6cd5\u3068\u540c\u3058\u3088\u3046\u306b\u3044\u305a\u308c\u306b\u3057\u3066\u3082<span style=\"color: #ff0000;\"><strong>\u8af8\u5203\u306e\u5263<\/strong><\/span>\u3067\u3059<\/li>\n<\/ul>\n<h4>\u5b9a\u4f4d\u8133\u624b\u8853\u306b\u3088\u308b\u71b1\u51dd\u56fa\u6cbb\u7642<\/h4>\n<ul>\n<li>\u5b9a\u4f4d\u8133\u624b\u8853\u3068\u306f\uff0c\u982d\u84cb\u9aa8\u306b10mm\u3061\u3087\u3063\u3068\u306e\u5c0f\u3055\u306a\u5b54\u3092\u958b\u3051\u3066\uff0c\u305d\u3053\u304b\u3089\u5668\u5177\u3092\u5dee\u3057\u8fbc\u3093\u3067\u884c\u3046\u624b\u8853\u306e\u3053\u3068\u3067\u3059<\/li>\n<li>MRI\u306e\u753b\u50cf\u3092\u57fa\u306b\u3057\u305f\u30b3\u30f3\u30d4\u30e5\u30fc\u30bf\u30ac\u30a4\u30c9\u624b\u8853 <span style=\"color: #000080;\"><strong>image-guided targeting<\/strong><\/span> \u306e\u4e00\u7a2e\u3067\u3059<\/li>\n<li>\u7d30\u3044\u68d2 thin probe \u306e\u3088\u3046\u306a\u3082\u306e\u3092\u904e\u8aa4\u816b\u3068\u8996\u5e8a\u4e0b\u90e8\u306e\u5883\u307e\u3067\u5dee\u3057\u5165\u308c\u3066\uff0c\u5148\u7aef\u304b\u3089\u71b1\u3092\u51fa\u3057\u3066\u4e00\u90e8\u3092\u71b1\u7834\u58ca\u3057\u307e\u3059<\/li>\n<li>\u904e\u8aa4\u816b\u309260\u2103\u306e\u71b1\u3067\u51dd\u56fa\u3057\u307e\u3059<\/li>\n<li>\u904e\u8aa4\u816b\u304b\u3089\u51fa\u308b\u7570\u5e38\u306a\u4fe1\u53f7\u304c\u4e2d\u8133\u3084\u4e73\u982d\u4f53\u306b\u6ce2\u53ca\u3059\u308b\u306e\u3092\u6b62\u3081\u307e\u3059<\/li>\n<li><span style=\"color: #000080;\"><strong>\u96e3\u6cbb\u6027\u306e\u7b11\u3044\u767a\u4f5c\u306a\u3069\u306e\u6cbb\u7642\u306b\u306f\u6709\u529b\u306a\u624b\u6bb5\u3067\u3059<\/strong><\/span><\/li>\n<li>\u30ac\u30f3\u30de\u30ca\u30a4\u30d5\u3068\u7570\u306a\u3063\u3066\uff0c<span style=\"color: #000080;\"><strong>\u6cbb\u7642\u52b9\u679c\u306f\u5373\u52b9\u6027<\/strong><\/span>\u3067\uff0c\u8853\u5f8c\u306b\u3059\u3050\u306b\u5224\u660e\u3057\u307e\u3059<\/li>\n<li>\u3057\u304b\u3057\uff0c\u6c7a\u3057\u3066\u5b89\u5168\u306a\u624b\u8853\u3068\u306f\u8a00\u3048\u307e\u305b\u3093<\/li>\n<li>\u5927\u304d\u306a\u816b\u760d\u3067\u306f\u4f55\u30ab\u6240\u306b\u3082\u30d7\u30ed\u30fc\u30d6\u3092\u523a\u3057\u3066\u51dd\u56fa\u3092\u3057\u306a\u3051\u308c\u3070\u306a\u308a\u307e\u305b\u3093<\/li>\n<li>\u767a\u4f5c\u306e\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\u304c\u3069\u306e\u7a0b\u5ea6\u3067\u304d\u308b\u306e\u304b\u306f\u307e\u3060\u306f\u3063\u304d\u308a\u3057\u3066\u3044\u307e\u305b\u3093\uff0c2\u5272\u3068\u304b7\u5272\u3067\u6709\u52b9\u3067\u3042\u3063\u305f\u306a\u3069\u306e\u5831\u544a\u304c\u3042\u308a\u307e\u3059<\/li>\n<li>\u71b1\u7834\u58ca\u306e\u9818\u57df\u304c\u5e83\u3051\u308c\u3070\u767a\u4f5c\u306f\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\u3067\u304d\u308b\u78ba\u7387\u304c\u4e0a\u304c\u308a\u307e\u3059\u304c\uff0c\u4e00\u65b9\u3067\u8996\u5e8a\u4e0b\u90e8\u969c\u5bb3\u306e\u53ef\u80fd\u6027\u3082\u4e0a\u304c\u308a\u307e\u3059<\/li>\n<li>\u6b63\u5e38\u306a\u8996\u5e8a\u4e0b\u90e8\u306e\u640d\u50b7\u3092\u907f\u3051\u308b\u305f\u3081\u306b\uff0creal-time MR thermography\u306a\u3069\u304c\u7528\u3044\u3089\u308c\u307e\u3059\u304c\uff0c\u307e\u3060\u5b89\u5168\u6027\u306f\u78ba\u7acb\u3055\u308c\u305f\u3068\u306f\u3044\u3048\u306a\u3044\u304b\u3082\u3057\u308c\u307e\u305b\u3093<\/li>\n<li>\u4e88\u60f3\u5916\u306b\u71b1\u3067\u8996\u5e8a\u4e0b\u90e8\u306e\u6b63\u5e38\u7d44\u7e54\u304c\u7834\u58ca\u3055\u308c\u3066\u3057\u307e\u3046\u3068\u91cd\u75c7\u306e\u8996\u5e8a\u4e0b\u90e8\u969c\u5bb3\u304c\u751f\u3058\u307e\u3059<\/li>\n<li>\u65e5\u672c\u3067\u3082\uff0c\u30ca\u30c8\u30ea\u30a6\u30e0\u8abf\u7bc0\u969c\u5bb3\u3067\u306e\u6b7b\u4ea1\u4f8b\u304c\u3042\u308a\u307e\u3059<\/li>\n<\/ul>\n<h4>\u5b9a\u4f4d\u7684\u30ec\u30b6\u30fc\u30a2\u30d6\u30ec\u30fc\u30b7\u30e7\u30f3 stereotactic laser ablation<\/h4>\n<ul>\n<li>\u5b9a\u4f4d\u8133\u624b\u8853\u3067\u71b1\u51dd\u56fa\u3092\u3059\u308b\u3068\u304d\u306b\u30ec\u30b6\u30fc\u7167\u5c04\u3092\u5229\u7528\u3059\u308b\u65b9\u6cd5\u3067\u3059<\/li>\n<\/ul>\n<h4>\u958b\u982d\u5916\u79d1\u624b\u8853<\/h4>\n<ul>\n<li>1980\u5e74\u306b\u521d\u3081\u3066\u306e\u6210\u529f\u4f8b\u304c\u5831\u544a\u3055\u308c\u307e\u3057\u305f<\/li>\n<li>\u65e5\u672c\u3067\u3082\u5e83\u304f\u884c\u308f\u308c\u307e\u3057\u305f\u304c\u96e3\u6613\u5ea6\u3068\u30ea\u30b9\u30af\u304c\u9ad8\u3059\u304e\u308b\u6cbb\u7642\u6cd5\u3067\u3059<\/li>\n<li>\u6fa4\u6751\u306f2005\u5e74\u304f\u3089\u3044\u307e\u3067\u884c\u3063\u3066\u3044\u307e\u3057\u305f<\/li>\n<li>2015\u5e74\uff0c\u6b27\u7c73\u3067\u306f\u307e\u3060\u4e00\u822c\u7684\u306b\u884c\u308f\u308c\u3066\u3044\u307e\u3059<\/li>\n<li>\u904e\u8aa4\u816b\u3092\u307b\u307c\u5b8c\u5168\u306b\u6458\u51fa\u3067\u304d\u306a\u3044\u3068\uff0c\u601d\u6625\u671f\u65e9\u767a\u3084\u767a\u4f5c\u306f\u6291\u5236\u3067\u304d\u307e\u305b\u3093<\/li>\n<li>\u304b\u306a\u308a\u7d4c\u9a13\u3092\u7a4d\u3093\u3060\u65bd\u8a2d\u3067\uff0c\u5b8c\u5168\u306b\u767a\u4f5c\u304c\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\u3067\u304d\u308b\u5272\u5408\u306f50\uff05\u7a0b\u5ea6\u3068\u5831\u544a\u3055\u308c\u3066\u3044\u307e\u3059<\/li>\n<li>\u65e5\u672c\u3067\u884c\u308f\u306a\u3044\u65b9\u304c\u3044\u3044\u3068\u3044\u3046\u7406\u7531\u306f\uff0c\u8996\u5e8a\u4e0b\u90e8\u904e\u8aa4\u816b\u306e\u624b\u8853\u7d4c\u9a13\u304c\u8133\u5916\u79d1\u533b\u306b\u3042\u307e\u308a\u306b\u3082\u5c11\u306a\u3044\u304b\u3089\u3067\u3059<\/li>\n<\/ul>\n<h4>\u958b\u982d\u624b\u8853\u306e\u65b9\u6cd5<\/h4>\n<ul>\n<li>2\u3064\u306e\u4ee3\u8868\u7684\u306a\u624b\u8853\u65b9\u6cd5\u304c\u3042\u308a\u307e\u3059<\/li>\n<li>\u524d\u982d\u5074\u982d\u958b\u982d\u3067\u30b7\u30eb\u30d3\u30a6\u30b9\u88c2\u3092\u958b\u3051\u3066\u978d\u4e0a\u90e8\u306e\u904e\u8aa4\u816b\u3092\u6458\u51fa\u3059\u308b\u65b9\u6cd5 <span style=\"color: #000080;\"><strong>Pterional Approach<\/strong><\/span>\u3067\u306f\uff0c\u8996\u7d22\u640d\u50b7\u306b\u3088\u308b\u540c\u540d\u534a\u76f2\uff0c\u7a7f\u901a\u679d\u640d\u50b7\u306b\u3088\u308b\u7247\u9ebb\u75fa\u306e\u30ea\u30b9\u30af\u304c\u3042\u308a\u307e\u3059<\/li>\n<li>\u4e21\u5074\u524d\u982d\u958b\u982d\u3067\u7d4c\u8133\u6881\u7684\u306b\u5de6\u53f3\u306e\u8133\u5f13\u306e\u9593\u304b\u3089\u5165\u308b\u65b9\u6cd5 <strong><span style=\"color: #000080;\">Transcallosal Interforniceal Approach\u00a0<\/span><\/strong>\u3067\u306f\uff0c\u8133\u5f13\u640d\u50b7\u306b\u3088\u308b\u8a18\u61b6\u969c\u5bb3\u304c\u304b\u306a\u308a\u306e\u983b\u5ea6\u3067\u751f\u3058\u307e\u3059<\/li>\n<li>\u7247\u65b9\u306e\u8133\u5f13\u640d\u50b7\u3060\u3051\u306a\u3089\u3088\u3044\u3068\u3044\u3046\u610f\u898b\u3082\u3042\u308a\u307e\u3059\u304c\uff0c\u4e21\u5074\u640d\u50b7\u306b\u3088\u308b\u8a18\u61b6\u969c\u5bb3\u306f\u53d7\u5bb9\u3067\u304d\u306a\u3044\u307b\u3069\u601d\u3044\u969c\u5bb3\u3067\u3059<\/li>\n<li>\u4e21\u8005\u3068\u3082\u306b\u96e3\u3057\u3044\u624b\u8853\u3067\uff0c\u304b\u3064\u73fe\u5b9f\u7684\u306b\u306f\u3068\u3066\u3082\u9ad8\u3044\u624b\u8853\u30ea\u30b9\u30af\u304c\u3042\u308a\u307e\u3059<\/li>\n<li>\u5927\u304d\u306a\u904e\u8aa4\u816b\u3067\u5e74\u5c11\u5150\u3067\u304b\u3064\u8a8d\u77e5\u6a5f\u80fd\u306e\u4f4e\u4e0b\u304c\u8457\u3057\u3044\u4f8b\u3067\u306f\u9069\u5fdc\u304c\u3042\u308b\u3068\u3044\u308f\u308c\u3066\u3044\u307e\u3059<\/li>\n<\/ul>\n<h4>\u5185\u8996\u93e1\u624b\u8853<\/h4>\n<ul>\n<li><strong><span style=\"color: #000080;\">\u5185\u8996\u93e1\u624b\u8853\u00a0Transventricular Endoscopic\u00a0Resection\u00a0<\/span><\/strong>\u306f\u5074\u8133\u5ba4\u304b\u3089\u30e2\u30f3\u30ed\u30fc\u5b54\uff0c\u7b2c\uff13\u8133\u5ba4\u5185\u306b\u5185\u8996\u93e1\u3092\u633f\u5165\u3057\u3066\u884c\u308f\u308c\u308b\u624b\u8853\u3067\u3059<\/li>\n<li><strong><span style=\"color: #000080;\">\u7247\u5074\u306b\u504f\u3063\u3066\u3044\u3066\u5c0f\u3055\u306a\u904e\u8aa4\u816b<\/span><\/strong>\u306b\u306f\u6709\u7528\u306a\u6642\u3082\u3042\u308b\u304b\u3082\u3057\u308c\u307e\u305b\u3093\u304c\uff0c\u3053\u306e\u624b\u8853\u3067\u3082\u8133\u5f13\u640d\u50b7\u306e\u53ef\u80fd\u6027\u304c\u3042\u308a\uff0c\u307e\u305f\u904e\u8aa4\u816b\u3092\u78ba\u5b9f\u306b\u6458\u51fa\u3059\u308b\u3053\u3068\u306f\u304b\u306a\u308a\u96e3\u3057\u3044\u3082\u306e\u3067\u3059<\/li>\n<\/ul>\n<h4>\u4e88\u5f8c<\/h4>\n<ul>\n<li>\u816b\u760d\u3068\u3057\u3066\u306f\u5897\u5927\u3057\u306a\u3044\u306e\u3067\u4e88\u5f8c\u306f\u5168\u304f\u554f\u984c\u3042\u308a\u307e\u305b\u3093<\/li>\n<li>\u767a\u4f5c\u983b\u5ea6\u304c\u591a\u3044\u3068\uff0c\u00a0\u8a8d\u77e5\u6a5f\u80fd\u306e\u4f4e\u4e0b\uff08\u7cbe\u795e\u767a\u9054\u9045\u6ede\uff09\u304c\u751f\u3058\u3066\uff0c\u5b66\u7fd2\u969c\u5bb3\uff0c\u7121\u95a2\u5fc3\uff0c\u793e\u4f1a\u9069\u5408\u6027\u306e\u4f4e\u4e0b\u304c\u554f\u984c\u3068\u306a\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059<\/li>\n<\/ul>\n<h4>\u75c7\u5019\u6027\u306b\u306a\u3063\u305f\u4f8b<\/h4>\n<h5>\u5e7c\u5150\u671f\u306b\u601d\u6625\u671f\u65e9\u767a\u3067\u767a\u75c7<\/h5>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-13105\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/09\/hamartomats-300x277.jpg\" alt=\"\" width=\"300\" height=\"277\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/09\/hamartomats-300x277.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/09\/hamartomats-768x708.jpg 768w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/09\/hamartomats-550x507.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/09\/hamartomats.jpg 850w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><br \/>\n\u601d\u6625\u671f\u65e9\u767a\u3067\u767a\u75c7\u3057\u305f\u5e7c\u5150\u306e\u8996\u5e8a\u4e0b\u90e8\u904e\u8aa4\u816b<br \/>\n\u8996\u795e\u7d4c\u4ea4\u53c9\u306e\u5f8c\u65b9\uff0c\u4e73\u982d\u4f53\u306e\u524d\u304b\u3089\u3076\u3089\u4e0b\u304c\u308b\u3088\u3046\u306b\u3057\u3066\u3042\u308a\u307e\u3059<br \/>\n\u5178\u578b\u7684\u306a\u6709\u830e\u72b6\u30bf\u30a4\u30d7\u3067\u3059<\/p>\n<h5>\u5c11\u5e74\u671f\u306bgelastic seizure\u3067\u767a\u75c7<\/h5>\n<p><a href=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/09\/hamartomakt1.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-13106\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/09\/hamartomakt1-285x300.jpg\" alt=\"\" width=\"285\" height=\"300\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/09\/hamartomakt1-285x300.jpg 285w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/09\/hamartomakt1-768x810.jpg 768w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/09\/hamartomakt1-550x580.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/09\/hamartomakt1.jpg 850w\" sizes=\"auto, (max-width: 285px) 100vw, 285px\" \/><\/a><a href=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/09\/hamartomakt2-1.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-13108\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/09\/hamartomakt2-1-300x300.jpg\" alt=\"\" width=\"300\" height=\"300\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/09\/hamartomakt2-1-300x300.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/09\/hamartomakt2-1-200x200.jpg 200w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/09\/hamartomakt2-1-768x771.jpg 768w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/09\/hamartomakt2-1-550x552.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/09\/hamartomakt2-1-144x144.jpg 144w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/09\/hamartomakt2-1.jpg 850w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<p>\u5c11\u5e74\u671f\u306b\u96e3\u6cbb\u6027\u306e\u767a\u4f5c\u3092\u751f\u3058\u3066\u60aa\u5316\u3057\u307e\u3057\u305f\uff0c\u3053\u308c\u3092\u6709\u830e pedunculated \u3068\u3059\u308b\u304b\u3069\u3046\u304b\u5fae\u5999\u306a\u3068\u3053\u308d\u3067\u3059<\/p>\n<h5>\u5e7c\u5150\u671f\u306bgelastic seizure\u3067\u767a\u75c7<\/h5>\n<p><a href=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/09\/hamartomaom1.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-13109\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/09\/hamartomaom1-297x300.jpg\" alt=\"\" width=\"297\" height=\"300\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/09\/hamartomaom1-297x300.jpg 297w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/09\/hamartomaom1-768x775.jpg 768w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/09\/hamartomaom1-550x555.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/09\/hamartomaom1-144x144.jpg 144w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/09\/hamartomaom1.jpg 945w\" sizes=\"auto, (max-width: 297px) 100vw, 297px\" \/><\/a><a href=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/09\/hamartomaom3.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-13110\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/09\/hamartomaom3-293x300.jpg\" alt=\"\" width=\"293\" height=\"300\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/09\/hamartomaom3-293x300.jpg 293w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/09\/hamartomaom3-768x786.jpg 768w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/09\/hamartomaom3-550x563.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/09\/hamartomaom3.jpg 945w\" sizes=\"auto, (max-width: 293px) 100vw, 293px\" \/><\/a><\/p>\n<p>2\u6b73\u3067gelastic seizure\u3092\u767a\u75c7\uff0c6\u6b73\u3067\u601d\u6625\u671f\u65e9\u767a\u3068\u306a\u308a\u307e\u3057\u305f<br \/>\n\u5de6\u8996\u5e8a\u4e0b\u90e8\u306b\u9650\u5c40\u3057\u3066\u67c4\u3092\u6709\u3059\u308b\u3082\u306e\u3067\u3059\uff0c\u5de6\u8996\u7d22\u3068\u4e73\u982d\u4f53\u3068\u306e\u5883\u754c\u306f\u3042\u308a\u307e\u305b\u3093<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-13111\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/09\/hamartomaom2-287x300.jpg\" alt=\"\" width=\"287\" height=\"300\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/09\/hamartomaom2-287x300.jpg 287w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/09\/hamartomaom2-768x804.jpg 768w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/09\/hamartomaom2-550x576.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/09\/hamartomaom2.jpg 945w\" sizes=\"auto, (max-width: 287px) 100vw, 287px\" \/><br \/>\n\u304a\u305d\u3089\u304f\u5de6\u8996\u5e8a\u4e0b\u90e8\u306e\u6a5f\u80fd\u4f4e\u4e0b\u3068\u96e3\u6cbb\u6027\u306e\u767a\u4f5c\u304c\u539f\u56e0\u3067\uff0c\u5de6\u5927\u8133\u534a\u7403\u306e\u840e\u7e2e\uff08\u3042\u308b\u3044\u306f\u767a\u9054\u4e0d\u826f\uff09\u304c\u8a8d\u3081\u3089\u308c\u307e\u3059<br \/>\n\u4e88\u5f8c\u304c\u304b\u306a\u308a\u4e0d\u826f\u3060\u3068\u5224\u65ad\u3057\u3066\uff0c2004\u5e74\u306b\u6458\u51fa\u8853\u3092\u3057\u307e\u3057\u305f<\/p>\n<p><a href=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/09\/hamartomaom4.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-13113\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/09\/hamartomaom4-200x200.jpg\" alt=\"\" width=\"200\" height=\"200\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/09\/hamartomaom4-200x200.jpg 200w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/09\/hamartomaom4-300x300.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/09\/hamartomaom4-768x771.jpg 768w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/09\/hamartomaom4-550x552.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/09\/hamartomaom4-144x144.jpg 144w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/09\/hamartomaom4.jpg 787w\" sizes=\"auto, (max-width: 200px) 100vw, 200px\" \/><\/a><a href=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/09\/hamartomaom5.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-13114\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/09\/hamartomaom5-200x200.jpg\" alt=\"\" width=\"200\" height=\"200\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/09\/hamartomaom5-200x200.jpg 200w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/09\/hamartomaom5-144x144.jpg 144w\" sizes=\"auto, (max-width: 200px) 100vw, 200px\" \/><\/a><br \/>\n\u8853\u5f8c\u306eMRI\u3067\u3059\uff0cpterional approach \u3067\u3057\u304b\u6458\u51fa\u3067\u304d\u306a\u3044\u816b\u760d\u3067\u3057\u305f<br \/>\n\u9ad8\u3044\u4f4d\u7f6e\u304c\u3068\u3069\u304b\u305a\u5c11\u3057\u53d6\u308a\u6b8b\u3057\u307e\u3057\u305f<br \/>\ngelastic seizure\u306f\u6e1b\u8377\u3055\u308c\u307e\u3057\u305f\u304c\u6b8b\u308a\uff0c\u8853\u5f8c\u306b\u8996\u91ce\u6b20\u640d\u3092\u5f8c\u907a\u3057\u307e\u3057\u305f<\/p>\n<p>2019\u5e74\u6642\u70b9\u3067\u3082\u3053\u306e\u3088\u3046\u904e\u8aa4\u816b\u3092\u6cbb\u7642\u3059\u308b\u3053\u3068\u306f\u56f0\u96e3\u3067\u3059<\/p>\n<hr \/>\n<h4>\u307e\u3081\u77e5\u8b58\uff1a\u904e\u8aa4\u816b\u306e\u5f62\u306e\u5206\u985e<\/h4>\n<ul>\n<li><span style=\"color: #000000;\">\u6709\u830e\u72b6\u30bf\u30a4\u30d7 pedunculated (peduncular) type\u3068\u7121\u830e\u72b6\u30bf\u30a4\u30d7 sessile type\u304c\u3042\u308a\u307e\u3059<\/span><\/li>\n<li><span style=\"color: #000080;\"><strong>pedunculated type<\/strong><\/span>\u3068\u306f\u6bd4\u8f03\u7684\u5c0f\u3055\u306a\u3082\u306e\u3067\uff0c\u8996\u5e8a\u4e0b\u90e8\u306e\u5e95\u90e8\u304b\u3089\u30ad\u30ce\u30b3\u306e\u3088\u3046\u306b\u4f38\u3073\u307e\u3059<\/li>\n<li>\u6b63\u5e38\u8996\u5e8a\u4e0b\u90e8\u7d44\u7e54\u3068\u306e\u5883\u754c\u304c\u660e\u77ad\u306a\u3082\u306e\u3067\u3059<\/li>\n<li><strong><span style=\"color: #ff0000;\">\u601d\u6625\u671f\u65e9\u767a\u75c7\u306fpedunculated type\u306b\u591a\u3044\u3067\u3059<\/span><\/strong><\/li>\n<li>\u624b\u8853\u6458\u51fa\u3057\u3084\u3059\u3044\u306e\u3067\u8133\u5916\u79d1\u3067\u306e\u958b\u982d\u6cbb\u7642\u306e\u5bfe\u8c61\u3068\u306a\u3063\u3066\u304d\u305f\u3082\u306e\u3067\u3059<\/li>\n<li><span style=\"color: #000080;\"><strong>sessile type<\/strong><\/span>\u306f\u5927\u304d\u306a\u3082\u306e\u3082\u3042\u308a\uff0c\u30c0\u30f3\u30b4\u3092\u8cbc\u4ed8\u3051\u305f\u3088\u3046\u306a\u5f62\u3067\u5e83\u304f\u8996\u5e8a\u4e0b\u90e8\u306b\u63a5\u89e6\u3057\u307e\u3059<\/li>\n<li>\u3067\u3059\u304b\u3089\u8996\u5e8a\u4e0b\u90e8\u3068\u306e\u5883\u754c\u304c\u306f\u3063\u304d\u308a\u3057\u307e\u305b\u3093<\/li>\n<li><span style=\"color: #ff0000;\"><strong>\u7b11\u3044\u767a\u4f5c\u306fsessile type\u306b\u7279\u5fb4\u7684\u3067\u3059<\/strong><\/span><\/li>\n<\/ul>\n<h4><span style=\"background-color: #f4f9ff;\">\u307e\u3081\u77e5\u8b58\uff1a<\/span><strong style=\"background-color: #f4f9ff;\">Lennox-Gastaut syndrome<\/strong><\/h4>\n<p style=\"padding-left: 30px;\">Pati S, et al.: Lennox-Gastaut syndrome symptomatic to hypothalamic hamartoma: evolution and long-term outcome following surgery. Pediatr Neurol 49: 25-30, 2013<\/p>\n<p style=\"padding-left: 30px;\">Barrow Neurological Institute \u304b\u3089\u306e\u5831\u544a\u3067\u3059\u3002\u30ec\u30ce\u30c3\u30af\u30b9\u30fb\u30ac\u30b9\u30c8\u30fc\u75c7\u5019\u7fa4\u306f\uff0cmultiple\u00a0generalized seizure types, \u8133\u6ce2\u3067\u306eslow spike-and-wave\uff0c\u7cbe\u795e\u767a\u9054\u9045\u6ede\u3092\u7279\u5fb4\u3068\u3059\u308b\u3059\u308b\u75c5\u614b\u3067\u3059\u3002159\u4f8b\u306e\u8996\u5e8a\u4e0b\u90e8\u904e\u8aa4\u816b\u306e\u5b50\u3069\u3082\u306e\u3046\u3061\uff0c21\u4f8b (14%)\u304c\u30ec\u30ce\u30c3\u30af\u30b9\u30fb\u30ac\u30b9\u30c8\u30fc\u75c7\u5019\u7fa4\u3092\u767a\u75c7\u3057\u307e\u3057\u305f\u3002\u767a\u75c7\u5e74\u9f62\u4e2d\u592e\u5024\u306f0.9\u6b73\u3067\u3059\u304b\u3089\uff0c\u4e73\u5150\u671f\u767a\u75c7\u3067\u3059\u3002<span style=\"color: #ff0000;\"><strong>21\u4eba\u5168\u54e1\u304c\u5916\u79d1\u6cbb\u7642\u3092\u53d7\u3051\u307e\u3057\u305f<\/strong><\/span>\u3002\u65b9\u6cd5\u306f\uff0c\u5185\u8996\u93e1\u624b\u8853\uff0c\u7d4c\u8133\u6881\u6cd5\u3067\u306e\u6458\u51fa\u8853\uff0c\u524d\u982d\u5074\u982d\u958b\u982d\u3067\u306e\u6458\u51fa\u8853\uff0c\u653e\u5c04\u7dda\u5916\u79d1\u6cbb\u7642\u3067\u3059\u3002\uff15\u4eba (24%) \u3067\u767a\u4f5c\u304c\u6d88\u5931\u3057\uff0c9\u4eba (42%) \u3067\u767a\u4f5c\u306f90%\u4ee5\u4e0a\u6e1b\u5c11\u3057\uff0c\u305f\u3063\u305f\u4e00\u4eba\u3060\u3051\u3067\u767a\u4f5c\u304c\u5341\u5206\u6291\u5236\u3067\u304d\u306a\u304b\u3063\u305f\u3068\u306e\u3053\u3068\u3067\u3059\u300288\uff05\u306e\u5b50\u3069\u3082\u3067\u884c\u52d5\u969c\u5bb3\u304c\u6539\u5584\u3057\u305f\u3068\u306e\u3053\u3068\u3067\u3059\u3002\u30ec\u30ce\u30c3\u30af\u30b9\u30fb\u30ac\u30b9\u30c8\u30fc\u75c7\u5019\u7fa4\u3092\u767a\u75c7\u3057\u3066\uff0c\u306a\u308b\u3079\u304f\u65e9\u304f\u5916\u79d1\u6cbb\u7642\u3092\u3057\u305f\u65b9\u304c\u3088\u3044\u3068\u306e\u7d50\u8ad6\u3067\u3059\u3002<\/p>\n<h4>\u5916\u79d1\u6cbb\u7642\u306e\u7d50\u679c<\/h4>\n<p style=\"padding-left: 30px;\">Pati S, et al.: Diagnosis and management of epilepsy associated with hypothalamic hamartoma: an evidence-based systematic review. J Child Neurol 28: 909-916, 2013<\/p>\n<p style=\"padding-left: 30px;\">2013\u5e74\u306b\u30dc\u30b9\u30c8\u30f3\u306eMGH\u304b\u3089\u51fa\u3055\u308c\u305f\u7dcf\u8ad6\u3067\uff0c\u3044\u308d\u3044\u308d\u306a<span style=\"color: #000080;\"><strong>\u5916\u79d1\u6cbb\u7642\u3067\u767a\u4f5c\u304c\u306a\u304f\u306a\u308b\u5272\u5408\u00a0<\/strong><\/span>seizure freedum \u3092\u8abf\u3079\u305f\u3082\u306e\u3067\u3059\u3002\u958b\u982d\u624b\u8853\uff08\u7d4c\u8133\u6881\u6cd5\uff09\u3068\u5185\u8996\u93e1\u624b\u8853\u306b\u3088\u308b\u904e\u8aa4\u816b\u6458\u51fa\u3067\u306f49-54%\u3067\u3057\u305f\u3002\u524d\u982d\u5074\u982d\u958b\u982d pterional approach\u3067\u306f15%\uff0c\u653e\u5c04\u7dda\u5916\u79d1\uff08\u30ac\u30f3\u30de\u30ca\u30a4\u30d5\uff09\u3067\u306f40%\u3067\u3042\u3063\u305f\u3068\u306e\u3053\u3068\u3067\u3059\u3002<\/p>\n<h4><strong>\u30b8\u30e3\u30a4\u30a2\u30f3\u30c8 \u5de8\u5927\u306a\u3082\u306e<\/strong><\/h4>\n<p style=\"padding-left: 30px;\">Alves C, et al.: Giant hypothalamic hamartoma: case report and literature review. Childs Nerv Syst 29: 513-516, 2013<\/p>\n<p style=\"padding-left: 30px;\">40mm\u3092\u8d85\u3048\u308b\u5de8\u5927\u306a\u3082\u306e\u304c\u3042\u308a\u307e\u3059\u3002\u6fa4\u6751\u3082\u4e73\u5150\u306e\u5de8\u5927\u306a\u904e\u8aa4\u816b\u3092\u898b\u305f\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002\u75c7\u72b6\u306f\u601d\u6625\u671f\u65e9\u767a\u3082\u3042\u308a\u307e\u3059\u304c\u7b11\u3044\u767a\u4f5c\u3067\u3059\u3002\u753b\u50cf\u3067\u306f\u306e\u3046\u80de\u5909\u6210\u304c\u7279\u5fb4\u3067\u3059\u3002\u5916\u79d1\u6458\u51fa\u306f\u6709\u52b9\u3067\u306f\u306a\u304f\uff0c\u96e3\u6cbb\u6027\u306e\u767a\u4f5c\u3092\u6b62\u3081\u3089\u308c\u305a\uff0c\u624b\u8853\u5408\u4f75\u75c7\u3082\u3059\u3079\u3066\u306e\u60a3\u5150\u306b\u751f\u3058\u3066\u3044\u305f\u3068\u5831\u544a\u3055\u308c\u307e\u3057\u305f\u3002<\/p>\n<h4>\u6587\u732e<\/h4>\n<ul>\n<li>Alves C, et al.: Giant hypothalamic hamartoma: case report and literature review. Childs Nerv Syst 29: 513-516, 2013<\/li>\n<li>Albright AL, et al.:\u00a0Neurosurgical treatment of hypothalamic hamartomas causing precocious puberty.\u00a0J Neurosurg 78: 77-82, 1993<\/li>\n<li>Cascino GD, et al.:\u00a0Gelastic seizures and hypothalamic hamartomas: evaluation of patients undergoing chronic intracranial EEG monitoring and outcome of surgical treatment.\u00a0Neurology 43: 747-750, 1993<\/li>\n<li>Freeman JL, et al.: Generalized epilepsy in hypothalamic hamartoma: evolution and postoperative resolution. Neurology 60:762-767, 2003<\/li>\n<li>Freeman JL, et al.: The endocrinology of hypothalamic hamartoma surgery for intractable epilepsy. Epileptic Disord 5: 239-247, 2003<\/li>\n<li>Freeman JL, et al.: MR imaging and spectroscopic study of epileptogenic hypothalamic hamartomas: analysis of 72 cases. AJNR Am J Neuroradiol 25: 450-462, 2004<\/li>\n<li>Harvey AS, et al.:\u00a0Transcallosal resection of hypothalamic hamartomas in patients with intractable epilepsy. Epileptic Disord 5: 257-265, 2003<\/li>\n<li>Iafolla K, et al.:\u00a0Case report and delineation of the congenital hypothalamic hamartoblastoma syndrome (Pallister-Hall syndrome).\u00a0Am J Med Genet 33: 489-499, 1989<\/li>\n<li>Machado HR, et al.:\u00a0Gelastic seizures treated by resection of a hypothalamic hamartoma.\u00a0Childs Nerv Sys 7: 462-465, 1991<\/li>\n<li>Mahachoklertwattana P, et al.:\u00a0The luteinizing hormone-releasing hormone-secreting hypothalamic hamartoma is a congenital malformation: natural history.\u00a0J Clin Endocrinol Metab 77: 118-124, 1993<\/li>\n<li>Mottolese C, et al.: Hypothalamic hamartoma: the role of surgery in a series of eight patients. Childs Nerv Syst 17: 229-236, 2001<\/li>\n<li>Pati S, et al.: Lennox-Gastaut syndrome symptomatic to hypothalamic hamartoma: evolution and long-term outcome following surgery. Pediatr Neurol 49: 25-30, 2013<\/li>\n<li>Pati S, et al.: Diagnosis and management of epilepsy associated with hypothalamic hamartoma: an evidence-based systematic review. J Child Neurol 28: 909-916, 2013<\/li>\n<li>Regis J, et al.:\u00a0Gamma knife surgery for epilepsy related to hypothalamic hamartomas.\u00a0Neurosurgery 47:1343-1351, 2000<\/li>\n<li>Rosenfeld JV, et al.:\u00a0Transcallosal resection of hypothalamic hamartomas, with control of seizures, in children with gelastic epilepsy.\u00a0Neurosurgery 48: 108-118, 2001<\/li>\n<li>Rosenfeld JV, et al.: Operative technique: The anterior transcallosal transseptal interforniceal approach to the third ventricle and resection of hypothalamic hamartomas. J Clin Neurosci 11: 738-44, 2004<\/li>\n<li>Stewart L, et al.:\u00a0Role of surgical resection in the treatment of hypothalamic hamartomas causing precocious puberty. Report of six cases.\u00a0J Neurosurg 88: 340-345, 1998<\/li>\n<li>Unger F, et al.:\u00a0Gamma knife radiosurgery for hypothalamic hamartomas in patients with medically intractable epilepsy and precocious puberty. Report of two cases.\u00a0J Neurosurg 92: 726-31, 2000<\/li>\n<li>Valdueza JM, et al.:\u00a0Hypothalamic hamartomas: with special reference to gelastic epilepsy and surgery.\u00a0Neurosurgery 34: 949-958, 1994<\/li>\n<\/ul>\n<h1><a href=\"http:\/\/hopeforhh.org\">\u8996\u5e8a\u4e0b\u90e8\u904e\u8aa4\u816b\u306e\u60a3\u8005\u3055\u3093\u306e\u4f1a\u304c\u3042\u308a\u307e\u3059\uff08\u3053\u3053\u3092\u30af\u30ea\u30c3\u30af\u3059\u308b\u3068\u958b\u304d\u307e\u3059\u304c\u82f1\u8a9e\u3067\u3059\uff09<\/a><\/h1>\n<p align=\"left\">\n","protected":false},"excerpt":{"rendered":"<p>\u8133\u306e\u904e\u8aa4\u816b\u306b\u306f\u3044\u308d\u3044\u308d\u3042\u3063\u3066\uff0c\u4ed6\u306e\u904e\u8aa4\u816b\u306b\u95a2\u3057\u3066\u306f\u5225\u306b\u66f8\u3044\u3066\u3042\u308a\u307e\u3059\u306e\u3067\uff0c\u3053\u3053\u3092\u30af\u30ea\u30c3\u30af\u3057\u3066\u4e0b\u3055\u3044 \u7070\u767d\u9686\u8d77\u904e\u8aa4\u816b \u00a0tuber cinereum hamartoma\u3068\u3082\u3044\u3044\u307e\u3059 \u7b2c\uff13\u8133\u5ba4\u306e\u5e8a\uff0c\u8996\u5e8a\u4e0b\u90e8\u5e95\u90e8\u306e\u7070\u767d\u9686\u8d77 t [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[5],"tags":[],"class_list":["post-4042","post","type-post","status-publish","format-standard","hentry","category-pediattumor"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/wp-json\/wp\/v2\/posts\/4042","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/wp-json\/wp\/v2\/comments?post=4042"}],"version-history":[{"count":74,"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/wp-json\/wp\/v2\/posts\/4042\/revisions"}],"predecessor-version":[{"id":13360,"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/wp-json\/wp\/v2\/posts\/4042\/revisions\/13360"}],"wp:attachment":[{"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/wp-json\/wp\/v2\/media?parent=4042"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/wp-json\/wp\/v2\/categories?post=4042"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/wp-json\/wp\/v2\/tags?post=4042"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}