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
Epilepsiajournal_title
Epilepsiaauthors
Laoprasert P,Ojemann JG,Handler MHdoi
10.1111/epi.13682subject
Has Abstractpub_date
2017-04-01 00:00:00pages
35-45eissn
0013-9580issn
1528-1167journal_volume
58 Suppl 1pub_type
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