Insular epilepsy: The Montreal experience

被引：3
作者：
Nguyen, D. K. [1 ]
Surbeck, W. [2 ]
Weil, A. G. [2 ]
Villemure, J. -G. [2 ]
Bouthillier, A. [2 ]
机构：
[1] Univ Montreal, Hop Notre Dame Chum, Serv Neurol, Montreal, PQ H2L 4M1, Canada
[2] Univ Montreal, Hop Notre Dame Chum, Serv Neurochirurg, Montreal, PQ H2L 4M1, Canada
来源：
REVUE NEUROLOGIQUE | 2009年 / 165卷 / 10期
关键词：
Insula; Epilepsy; Intracranial study; Epilepsy surgery; LOBE; CORTEX; SEIZURES; SURGERY;
D O I：
10.1016/j.neurol.2009.07.011
中图分类号：
R74 [神经病学与精神病学];
学科分类号：
摘要：
In this article, we review recently published data on the role of the insula in refractory partial epilepsy and summarize our own experience in the investigation and treatment of this entity. Case studies and evoked responses obtained from insular cortical stimulation reveal a wide array of clinical manifestations which may mimic temporal, frontal or parietal lobe seizures. Clinicians should hence lower their threshold to sample the insula with intracerebral electrodes. Lack of recognition of insular seizures may explain part of epilepsy surgery failures. Advances in microneurosurgery open the way to safer insular resection. (C) 2009 Elsevier Masson SAS. All rights reserved.
引用
收藏
页码：750 / 754
页数：5
相关论文
共 19 条
  • [1] AFIF A, 2008, NEUROSURGERY, V132, P1048
  • [2] Patients with temporoparietal ictal symptoms and inferomesial EEG do not benefit from anterior temporal resection
    Aghakhani, Y
    Rosati, A
    Dubeau, F
    Olivier, A
    Andermann, F
    [J]. EPILEPSIA, 2004, 45 (03) : 230 - 236
  • [3] Long-term outcome of lesional posterior cortical epilepsy surgery in adults
    Elsharkawy, A. E.
    El-Ghandour, N. M. F.
    Oppel, F.
    Pannek, H.
    Schulz, R.
    Hoppe, M.
    Woermann, F. G.
    Nayel, M.
    Issa, A.
    Ebner, A.
    [J]. JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY, 2009, 80 (07) : 773 - 780
  • [4] Failed surgery for epilepsy - A study of persistence and recurrence of seizures following temporal resection
    Hennessy, MJ
    Elwes, RDC
    Binnie, CD
    Polkey, CE
    [J]. BRAIN, 2000, 123 : 2445 - 2466
  • [5] Isnard J, 2000, ANN NEUROL, V48, P614, DOI 10.1002/1531-8249(200010)48:4<614::AID-ANA8>3.3.CO
  • [6] 2-J
  • [7] Clinical manifestations of insular lobe seizures:: A stereo-electroencephalographic study
    Isnard, J
    Guénot, M
    Sindou, T
    Mauguière, F
    [J]. EPILEPSIA, 2004, 45 (09) : 1079 - 1090
  • [8] Complex behavioral automatism arising from insular cortex
    Kaido, T
    Otsuki, T
    Nakama, H
    Kaneko, Y
    Kubota, Y
    Sugai, K
    Saito, O
    [J]. EPILEPSY & BEHAVIOR, 2006, 8 (01) : 315 - 319
  • [9] Microsurgery of epileptic foci in the insular region Clinical article
    Malak, Ramez
    Bouthillier, Alain
    Carmant, Lionel
    Cossette, Patrick
    Giard, Normand
    Saint-Hilaire, Jean-Marc
    Nguyen, Dong Bach
    Nguyen, Dang Khoa
    [J]. JOURNAL OF NEUROSURGERY, 2009, 110 (06) : 1153 - 1163
  • [10] Resection of insular gliomas: the importance of lenticulostriate artery position
    Moshel, Yaron A.
    Marcus, Joshua D. S.
    Parker, Erik C.
    Kelly, Patrick J.
    [J]. JOURNAL OF NEUROSURGERY, 2008, 109 (05) : 825 - 834
12