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Chapter 7 - Clinical Presentation of Insulo-Opercular Epilepsy in Adults

from Section 2 - The Spectrum of Epilepsies Involving the Insula

Published online by Cambridge University Press:  09 June 2022

By
Laurence Martineau ,
Dang Khoa Nguyen  and
Jean Isnard
Edited by
Dang Nguyen ,
Jean Isnard  and
Philippe Kahane
Dang Nguyen
Affiliation:
Université de Montréal
Jean Isnard
Affiliation:
Claude Bernard University Lyon
Philippe Kahane
Affiliation:
Grenoble-Alpes University Hospital
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Summary

Insular lobe seizures (ILS) may present with several subjective and objective symptoms. Somatosensory and viscerosensory symptoms, notably paresthesia and laryngeal constriction, are symptoms frequently encountered with ILS. Other manifestations may become only evident after the ictal discharge spreads to extra-insular structures. Depending on propagation pathways, ILS exhibit two main clinical patterns: (1) a perisylvian /temporo-perisylvian pattern and (2) a frontal-like pattern. Other miscellaneous clinical presentations include epileptic spasms, ecstatic, gelastic, reflex, and autonomic seizures.

Keywords

insular lobe seizureinsular lobe epilepsysemiologySEEGelectrical stimulationsclinical symptoms
Type
Chapter
Information
Insular Epilepsies , pp. 67 - 81
Publisher: Cambridge University Press
Print publication year: 2022

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