Treatment Tuber cinereum hamartoma

surgical approach removal transsphenoidal @ base of skull.

hormonal suppressive therapy luteinizing hormone receptor agonists leuprolide can used treat seizure component, , effective in patients.

surgery offered if there failure of medical therapy or rapid growth of lesion, specific options including stereotactic thermocoagulation, gamma knife radiosurgery, , physical resection transsphenoidal microsurgery. surgical response typically better when seizure focus has been found eeg originate in or near mass. specific location of lesion relative pituitary , infundibulum , amount of hormonal disturbance @ presentation can predict risk of hypopituitarism following surgery.