Treatment and semeiology analysis of a MRI negative insular epilepsy case_Journal of Epilepsy

Authors：

LI Kaihui ¹ , LONG Qiting ² , FEI Lingxia ¹ , TAN Qinghua ¹ , CHEN Junxi ¹ , GUO Qiang ¹ ,  HU Xiangshu ¹

1. Epileptic Center, Guangdong 999 Brain Hospital, Guangzhou 510510, China;
2. Department of Epilepsy, Shanghai Neuromedical Center, Shanghai 200336, China;

Corresponding author：

HU Xiangshu, Email: hxs75@126.com

Keywords：

Insular epilepsy; MRI negative; Seizure semeiology

DOI：

10.7507/2096-0247.20190016

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

ObjectiveTo analyse the seizure semeiology of MRI negative insular epilepsy.MethodsA case of patient with insular epilepsy who presented in Epileptic Center, Guangdong 999 Brain Hospital was collected. Related literatures were thoroughly reviewed.ResultsThe patient was diagnosised as insular epilepsy by SEEG and postoperative pathology reported focal cortical dysplasia Ib.ConclusionsThe insula lobe is a part of the limbic system, and the seizure semeiology in insular epilepsy is varied. Seizure semeiology analysis is particularly important in the evaluation of presurgical especially in a MRI negative case. In this paper, we summarized the semeiology characteristics of various parts of insula lobe, and provided some references for the diagnosis and treatment of insular epilepsy.

Citation： LI Kaihui, LONG Qiting, FEI Lingxia, TAN Qinghua, CHEN Junxi, GUO Qiang, HU Xiangshu. Treatment and semeiology analysis of a MRI negative insular epilepsy case. Journal of Epilepsy, 2019, 5(2): 94-102. doi: 10.7507/2096-0247.20190016 Copy

1.	Lüders H, Acharya J, Baumgartner C, et al. Semiological seizure classification. Epilepsia, 1998, 39(9): 1006-1013.
2.	Blümcke I, Thom M, Aronica E, et al. The clinicopathologic spectrum of focal cortical dysplasias: a consensus classification proposed by an ad hoc Task Force of the ILAE Diagnostic Methods Commission. Epilepsia, 2011, 52(1): 158-174.
3.	Shura RD, Hurley RA, Taber KH, et al. Insular cortex: structural and functional neuroanatomy. J Neuropsychiatry Clin Neurosci, 2014, 26(4): 276-282.
4.	Morel A, Gallay MN, Baechler A, et al. The human insula: Architectonic organization and postmortem MRI registration. Neuroscience, 2013, 236: 117-135.
5.	Cerliani L, Thomas RM, Jbabdi S, et al. Probabilistic tractography recovers a rostrocaudal trajectory of connectivity variability in the human insular cortex. Hum Brain Mapp, 2012, 33(9): 2005-2034.
6.	Chikama M, McFarland NR, Amaral DG, et al. Insular cortical projections to functional regions of the striatum correlate with cortical cytoarchitectonic organization in the primate. J Neurosci, 1997, 17(24): 9686-9705.
7.	Almashaikhi T, Rheims S, Ostrowsky-Coste K, et al. Intrainsular functional connectivity in human. Hum Brain Mapp, 2014, 35(6): 2779-2788.
8.	Rolls, E T. Functions of the anterior insula in taste, autonomic, and related functions. Brain Cogn, 2016, 12, 110: 4-19.
9.	de Morree HM, Rutten GJ, Szabó BM, Kop WJ, et al. Effects of Insula Resection on Autonomic Nervous System Activity. J Neurosurg Anesthesiol, 2016, 28(2): 153-158.
10.	Ryvlin P, Minotti L, Demarquay G, Kahane P, et al. Nocturnal hypermotor seizures, suggesting frontal lobe epilepsy, can originate in the insula. Epilepsia, 2006, 47(4): 755-765.
11.	Naidich TP, Kang E, Fatterpekar GM, et al. The insula: anatomic study and MR imaging display at 1.5 T. AJNR Am J Neuroradiol, 2004, 25(2): 222-232.

1. Lüders H, Acharya J, Baumgartner C, et al. Semiological seizure classification. Epilepsia, 1998, 39(9): 1006-1013.
2. Blümcke I, Thom M, Aronica E, et al. The clinicopathologic spectrum of focal cortical dysplasias: a consensus classification proposed by an ad hoc Task Force of the ILAE Diagnostic Methods Commission. Epilepsia, 2011, 52(1): 158-174.
3. Shura RD, Hurley RA, Taber KH, et al. Insular cortex: structural and functional neuroanatomy. J Neuropsychiatry Clin Neurosci, 2014, 26(4): 276-282.
4. Morel A, Gallay MN, Baechler A, et al. The human insula: Architectonic organization and postmortem MRI registration. Neuroscience, 2013, 236: 117-135.
5. Cerliani L, Thomas RM, Jbabdi S, et al. Probabilistic tractography recovers a rostrocaudal trajectory of connectivity variability in the human insular cortex. Hum Brain Mapp, 2012, 33(9): 2005-2034.
6. Chikama M, McFarland NR, Amaral DG, et al. Insular cortical projections to functional regions of the striatum correlate with cortical cytoarchitectonic organization in the primate. J Neurosci, 1997, 17(24): 9686-9705.
7. Almashaikhi T, Rheims S, Ostrowsky-Coste K, et al. Intrainsular functional connectivity in human. Hum Brain Mapp, 2014, 35(6): 2779-2788.
8. Rolls, E T. Functions of the anterior insula in taste, autonomic, and related functions. Brain Cogn, 2016, 12, 110: 4-19.
9. de Morree HM, Rutten GJ, Szabó BM, Kop WJ, et al. Effects of Insula Resection on Autonomic Nervous System Activity. J Neurosurg Anesthesiol, 2016, 28(2): 153-158.
10. Ryvlin P, Minotti L, Demarquay G, Kahane P, et al. Nocturnal hypermotor seizures, suggesting frontal lobe epilepsy, can originate in the insula. Epilepsia, 2006, 47(4): 755-765.
11. Naidich TP, Kang E, Fatterpekar GM, et al. The insula: anatomic study and MR imaging display at 1.5 T. AJNR Am J Neuroradiol, 2004, 25(2): 222-232.

Previous Article
A case of Aicardi-Goutières syndrome

Journal of Epilepsy

Treatment and semeiology analysis of a MRI negative insular epilepsy case

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Format

Content