Insular seizures

Evidence-based neurology checklist on insular seizures: The insula: anatomy The insula is also known as the Island of Reil It is located at the base of the Sylvian fissure It is beneath the frontal, temporal, and parietal opercula It consists of an anterior and a posterior part It is supplied by…

The insula: anatomy

  • The insula is also known as the Island of Reil
  • It is located at the base of the Sylvian fissure
  • It is beneath the frontal, temporal, and parietal opercula
  • It consists of an anterior and a posterior part
  • It is supplied by the middle cerebral artery
  • It has connections with the limbic system, basal ganglia, and thalamus

The insula: function

Cardiorespiratory features

Sensory and autonomic features

Motor features

Complications

Differential diagnosis

Autoimmune associations

Investigations

Treatment

References

  1. Wynford-Thomas R, Powell R. Navigating the Island of Reil: how to understand the insular cortex. Pract Neurol 2017; 17:122-126. 
  2. Kurukumbi M, Leiphart J, Singer L. A rare case of insular epilepsy: not to be missed in refractory epilepsy patients. Cureus 2019; 11:e5434. 
  3. Isnard J, Guénot M, Sindou M, Mauguière F. Clinical manifestations of insular lobe seizures: a stereo-electroencephalographic study. Epilepsia 2004; 45:1079-1090.
  4. Isnard J, Hagiwara K, Montavont A, et al. Semiology of insular lobe seizures. Rev Neurol (Paris) 2019; 175:144-149. 
  5. Jobst BC, Gonzalez-Martinez J, Isnard J, et al. The insula and its epilepsies. Epilepsy Curr 2019; 19:11-21.
  6. And 16 more. Subscribe to see the full list

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