MR Imaging and Spectroscopy of a Tuber Cinereum Hamartoma in a Patient with Growth Hormone Deficiency and Hypogonadotropic. Hamartoma of the hypothalamus and tuber cinereum may be regarded as a midline .. Brower, B. and Brummelcamp, R.: Le syndrome de puberte precoce. La edad de debut de la epilepsia en los pacientes con hamartoma . (MB). Coronal section, T2-weighted sequence, showing a tuber cinereum hamartoma.

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Symptoms often begin in early infancy and are progressive, often with general cognitive and functional disability.

Lesions can cause gelastic seizures, visual problems, early onset of puberty and tubet problems 3. Gelastic seizures are typically of short duration seconds and characterised by uncontrollable laughter, without impairment of consciousness, which contrasts with frontotemporal gelastic hamartomma which usually are longer lasting and can result in loss of consciousness 4.

Very rarely children with hypothalamic hamartomas can enter into ‘status gelasticus’ 4. Central precocious puberty is also frequently encountered in these children, typically in patients with sessile cienreum. It results from over-secretion of gonadotropin-releasing hormone GnRH which in turn results in over production of luteinizing hormone LH and follicle-stimulating hormone FSH 5.


A hamartoma is a focal malformation that resembles but is not a neoplasm cf. Histologically, hypothalamic hamartomas resemble normal hypothalamic neurones, although some dysplastic neurones and glial cells have also been described 3.

Tuber cinereum hamartoma – Wikipedia

They are thought to arise from anomalous neural migration between 35 and 40 days in utero time of hypothalamic formation. The most commonly used classification is morphologic, dividing hypothalamic hamartomas into either sessile or pedunculated morphology 3, As they are composed of grey matter, they have imaging appearances similar to the normal cortex.

They do not enhance and do not grow 3. On conventional axial CT images, hamqrtoma diagnosis can be challenging, depending on slice position and thickness, although with more recent volumetric scans with coronal and sagittal reformats, the abnormality is easier to identify.

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As expected it appears as a nodule of soft tissue iso-attenuating to grey matter, without calcification or contrast enhancement. They are benign lesions and typically ciereum do not grow, however, symptomatology can be progressive. Intractable epilepsy can respond to surgery resection or disconnection, depending on the morphology of the tumor and this can be performed via an open craniotomy or more recently via an endoscope 5.


Most other lesions encountered in the region either have markedly different signal intensity or demonstrate enhancement. To quiz yourself on this article, log in to see multiple choice questions. You can also scroll through stacks with your mouse wheel or the keyboard arrow keys.

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Tuber cinereum hamartoma

About Blog Go ad-free. Epidemiology Clinical presentation Pathology Radiographic features Treatment and prognosis History and etymology Differential diagnosis References Images: Edit article Share article View revision history.

Synonyms or Alternate Spellings: Tuber cinerium hamartoma Tuber cinereum jamartoma Hypothalamic hamartomas Tuber cinerium hamartomas. Support Radiopaedia and see fewer ads. Case 1 Case 1. Case 2 Case 2.

Hypothalamic hamartoma | Radiology Reference Article |

Case 3 Case 3. Case 4 Case 4. Pallister-Hall syndrome Case 5: Loading Stack – 0 images remaining.