Clinical Manifestations of Insular Lobe Seizures: A Stereo‐electroencephalographic Study

Summary:  Purpose: In this study, we report the clinical features of insular lobe seizures based on data from video and stereo‐electroencephalographic (SEEG) ictal recordings and direct electric insular stimulation of the insular cortex performed in patients referred for presurgical evaluation of temporal lobe epilepsy (TLE).

[1]  J. Bancaud,et al.  Gustatory hallucinations in epileptic seizures. Electrophysiological, clinical and anatomical correlates. , 1987, Brain : a journal of neurology.

[2]  Pharyngeal Dysesthesias as an Aura in Temporal Lobe Epilepsy Associated with Amygdalar Pathology , 2001, Epilepsia.

[3]  C Büchel,et al.  Painful stimuli evoke different stimulus-response functions in the amygdala, prefrontal, insula and somatosensory cortex: a single-trial fMRI study. , 2002, Brain : a journal of neurology.

[4]  J. Talairach,et al.  Differential Diagnosis Between Temporal and “Perisylvian” Epilepsy in a Surgical Perspective , 1980 .

[5]  A. Foundas,et al.  The Role of the Insular Cortex in Dysphagia , 1997, Dysphagia.

[6]  Marc Guenot,et al.  Neurophysiological Monitoring for Epilepsy Surgery: The Talairach SEEG Method , 2002, Stereotactic and Functional Neurosurgery.

[7]  G. Salamon,et al.  Mutism and auditory agnosia due to bilateral insular damage—Role of the insula in human communication , 1995, Neuropsychologia.

[8]  J. Bancaud.  [Clinical symptomatology of epileptic seizures of temporal origin]. , 1987, Revue neurologique.

[9]  F. Mauguière,et al.  The role of the insular cortex in temporal lobe epilepsy , 2000, Annals of neurology.

[10]  Philippe Kahane,et al.  Reappraisal of the human vestibular cortex by cortical electrical stimulation study , 2003, Annals of neurology.

[11]  T. R. Scott,et al.  Gustatory neural coding in the monkey cortex: stimulus quality. , 1991, Journal of neurophysiology.

[12]  J R Augustine,et al.  The insular lobe in primates including humans. , 1985, Neurological research.

[13]  François Mauguière,et al.  Dual representation of pain in the operculo-insular cortex in humans. , 2003, Brain : a journal of neurology.

[14]  S. Shorvon,et al.  Biomedical Aspects of Depression and Its Treatment , 1984 .

[15]  J. Prats,et al.  [Opercular epileptic syndrome: an unusual form of benign partial epilepsy in childhood]. , 1999, Revista de neurologia.

[16]  M. Torrens.  Co-Planar Stereotaxic Atlas of the Human Brain—3-Dimensional Proportional System: An Approach to Cerebral Imaging, J. Talairach, P. Tournoux. Georg Thieme Verlag, New York (1988), 122 pp., 130 figs. DM 268 , 1990 .

[17]  T. R. Scott,et al.  Gustatory neural coding in the monkey cortex: stimulus intensity. , 1991, Journal of neurophysiology.

[18]  J. V. Van Buren,et al.  Mechanism and cortical representation of the feeding pattern. , 1951, A.M.A. archives of neurology and psychiatry.

[19]  W. Penfield,et al.  The insula; further observations on its function. , 1955, Brain : a journal of neurology.

[20]  D. Spencer,et al.  Characteristics of medial temporal lobe epilepsy: I. Results of history and physical examination , 1993, Annals of neurology.

[21]  Fabrice Wendling,et al.  Neural Networks Underlying Epileptic Humming , 2002, Epilepsia.

[22]  J. Ferro,et al.  Aphasia Following Right Striato‐insular Infarction in a Left‐handed Child: a Clinico‐radiological Study , 1982, Developmental medicine and child neurology.

[23]  H. Duffau,et al.  Medically Intractable Epilepsy from Insular Low-Grade Gliomas: Improvement after an Extended Lesionectomy , 2002, Acta Neurochirurgica.

[24]  G. Holmes,et al.  Pharyngeal Dysesthesia as an Aura in Temporal Lobe Epilepsy , 1996, Epilepsia.

[25]  P. Maeder,et al.  Strokes restricted to the insular cortex , 2002, Neurology.

[26]  P. Furlong,et al.  Topographic mapping of cortical potentials evoked by distension of the human proximal and distal oesophagus. , 1995, Electroencephalography and clinical neurophysiology.

[27]  J. R. Augustine.  Circuitry and functional aspects of the insular lobe in primates including humans , 1996, Brain Research Reviews.

[28]  G. Cascino,et al.  Gustatory and second sensory seizures associated with lesions in the insular cortex seen on magnetic resonance imaging , 1990 .

[29]  L Tassi,et al.  [Electroclinical manifestations elicited by intracerebral electric stimulation "shocks" in temporal lobe epilepsy]. , 1993, Neurophysiologie clinique = Clinical neurophysiology.

[30]  W T Blume,et al.  Seizures involving secondary sensory and related areas. , 1992, Brain : a journal of neurology.

[31]  C. Robinson,et al.  Organization of somatosensory receptive fields in cortical areas 7b, retroinsula, postauditory and granular insula of M. fascicularis , 1980, The Journal of comparative neurology.

[32]  A. Vighetto,et al.  An attention modulated response to disgust in human ventral anterior insula , 2003, Annals of neurology.

[33]  T. Rasmussen,et al.  Parietal lobe epilepsy. Clinical manifestations and outcome in 82 patients treated surgically between 1929 and 1988. , 1995, Brain : a journal of neurology.

[34]  T. Rasmussen,et al.  Evaluation of Insular Ablation in Surgical Treatment of Temporal Lobe Epilepsy , 1964, Epilepsia.

[35]  C Munari,et al.  Somatomotor Manifestations in Temporal Lobe Seizures , 1984, Epilepsia.

[36]  P. Kahane,et al.  Manifestations électrocliniques induites par la stimulation électrique intracérébrale par «chocs dans les épilepsies temporales , 1993, Neurophysiologie Clinique/Clinical Neurophysiology.

[37]  F Mauguière,et al.  Functional Mapping of the Insular Cortex: Clinical Implication in Temporal Lobe Epilepsy , 2000, Epilepsia.

[38]  J. Guillaume,et al.  [Surgical indications in so-called temporal epilepsy]. , 1953, Annales medico-psychologiques.

[39]  P Kahane,et al.  Dominant partial epilepsies. A clinical, electrophysiological and genetic study of 19 European families. , 2000, Brain : a journal of neurology.

[40]  David P. Friedman,et al.  A modality-specific somatosensory area within the insula of the rhesus monkey , 1993, Brain Research.

[41]  Ilo E. Leppik,et al.  Ictus emeticus and the insular cortex , 1988, Epilepsy Research.

[42]  F. Mauguière,et al.  Representation of pain and somatic sensation in the human insula: a study of responses to direct electrical cortical stimulation. , 2002, Cerebral cortex.

[43]  S. Hatashita,et al.  Lipoma of the insula. Case report. , 1983, Journal of Neurosurgery.

[44]  W. Sutherling,et al.  Surgical treatment of partial epilepsy arising from the insular cortex. Report of two cases. , 1993, Journal of neurosurgery.

[45]  F. Mauguière,et al.  Somatosensory epilepsy. A review of 127 cases. , 1978, Brain : a journal of neurology.

[46]  M. Raichle,et al.  Tactile-vibration-activated foci in insular and parietal-opercular cortex studied with positron emission tomography: mapping the second somatosensory area in humans. , 1993, Somatosensory & motor research.

[47]  S Lehéricy,et al.  Functional compensation of the left dominant insula for language , 2001, Neuroreport.

[48]  R.N.Dej.,et al.  Epilepsy and the Functional Anatomy of the Human Brain , 1954, Neurology.

[49]  P. Kellaway,et al.  Proposal for Revised Clinical and Electroencephalographic Classification of Epileptic Seizures , 1981, Epilepsia.