Insular epilepsy surgery.

Abstract:

:Since it was originally described nearly 70 years ago, insular epilepsy has been increasingly recognized and may explain failures after apparently well-planned operations. We review the history of awareness of the phenomenon, techniques for its assessment, and its surgical management. Insular epilepsy can mimic features of frontal, parietal, or temporal seizures. It should be considered when a combination of somatosensory, visceral, and motor symptoms is observed early in a seizure. Extraoperative intracranial recordings are required to accurately diagnose insular seizures. Stereo-electroencephalography (EEG) or craniotomy with implantation of surface and depth electrodes have been used successfully to identify insular onset of seizures. Surgical resection of an insular focus may be performed with good success and acceptable risk.

journal_name

Epilepsia

journal_title

Epilepsia

authors

Laoprasert P,Ojemann JG,Handler MH

doi

10.1111/epi.13682

subject

Has Abstract

pub_date

2017-04-01 00:00:00

pages

35-45

eissn

0013-9580

issn

1528-1167

journal_volume

58 Suppl 1

pub_type

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