How would we deal with hypothalamic hamartomas?

Figure 1 Classification of sessile hypothalamic hamartoma. (Modified by Choi et al[27] from that proposed by Delalande et al[26]). The hypothalamic hamartomas (HHs) were divided into four categories based on MRI findings demonstrating the relationship between the hamartoma and hypothalamus or the third ventricle. A large hamartoma (> 20 mm) was defined as a giant HH (Type IV). Small HHs (< 20 mm) were classified as midline (Type I), lateral (Type II), and intraventricular (Type III) according to their relative location to the third ventricle. MRI: Magnetic resonance imaging.

Figure 2 Possible treatments for subdivided types of hypothalamic hamartoma[28]. (Modification from Delalande et al[26]’s and Choi et al[27]’s classification).