Insular Cortex Epilepsy Quiz
Reviewed By:
Benjamin Kummer, MD (Neurology)
Dr Kummer is Assistant Professor of Neurology at the Icahn School of Medicine at Mount Sinai (ISMMS), with joint appointment in Digital and Technology Partners (DTP) at the Mount Sinai Health System (MSHS) as Director of Clinical Informatics in Neurology. As a triple-board certified practicing stroke neurologist and informaticist, he has successfully improved clinical operations at the point of care by acting as a central liaison between clinical neurology faculty and DTP teams to implement targeted EHR configuration changes and workflows, as well as providing subject matter expertise on health information technology projects across MSHS. | Dr Kummer also has several years’ experience building and implementing several informatics tools, presenting scientific posters, and generating a body of peer-reviewed work in “clinical neuro-informatics” – i.e., the intersection of clinical neurology, digital health, and informatics – much of which is centered on digital/tele-health, artificial intelligence, and machine learning. He has spearheaded the Clinical Neuro-Informatics Center in the Department of Neurology at ISMMS, a new research institute that seeks to establish the field of clinical neuro-informatics and disseminate knowledge to the neurological community on the effects and benefits of clinical informatics tools at the point of care.
Shohei Harase, MD (Neurology)
Dr. Harase spent his junior and senior high school years in Finland and the U.S. After graduating from the University of Washington (Bachelor of Science, Molecular and Cellular Biology), he worked for Apple Japan Inc. before entering the University of the Ryukyus School of Medicine. He completed his residency at Okinawa Prefectural Chubu Hospital, where he received the Best Resident Award in 2016 and 2017. In 2021, he joined the Department of Cerebrovascular Medicine at the National Cerebral and Cardiovascular Center, specializing in hyperacute stroke.
Content updated on Mar 31, 2024
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One hand or leg feels rigid and unable to move
Limb dystonia
Unusual sensations such as burning or prickling sensation all over the body
My whole body has a burning or prickling sensation
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What is Insular Cortex Epilepsy?
Insular cortex epilepsy is an under-recognized type of epilepsy. It is characterized by repeated seizures that either arise from the insula in the brain, or spread from the adjacent temporal or frontal lobes into the insular area. Seizures can manifest with different warning symptoms, such as a sudden rising sensation in the stomach, numbness or tingling in any part of the body, or a sensation of choking. Occasionally, insular seizures will arise out of sleep, which typically manifest with strange movements, agitation, or posturing
Typical Symptoms of Insular Cortex Epilepsy
One hand or leg feels rigid and unable to move
Mouth makes chewing movements when moving arms or legs
Unusual sensations such as burning or prickling sensation all over the body
Often hear sounds even though there is nothing there
Doctor's Diagnostic Questionson Insular Cortex Epilepsy
Your doctor may ask these questions to check for this disease:
Is one hand or leg rigid and unable to move?
Do you feel burning or prickling sensations all over your body?
Treatmentof Insular Cortex Epilepsy
Medications are often used to control the seizures. For seizures that do not respond to medications, implanted neurostimulation devices or brain surgery are treatment options for insular cortex epilepsy.
Think you might have
Insular Cortex Epilepsy
View the symptoms of Insular Cortex Epilepsy
Diseases related to Insular Cortex Epilepsy
References
Ryvlin P, Picard F. Invasive Investigation of Insular Cortex Epilepsy. J Clin Neurophysiol. 2017 Jul;34(4):328-332. doi: 10.1097/WNP.0000000000000395. PMID: 28644203.
https://journals.lww.com/clinicalneurophys/Abstract/2017/07000/Invasive_Investigation_of_Insular_Cortex_Epilepsy.6.aspx
Nguyen DK. Insular Cortex Epilepsy: Exploring the Treasure Island of Reil. J Clin Neurophysiol. 2017 Jul;34(4):299. doi: 10.1097/WNP.0000000000000397. PMID: 28644198.
https://journals.lww.com/clinicalneurophys/Citation/2017/07000/Insular_Cortex_Epilepsy__Exploring_the_Treasure.1.aspx
Nguyen DK, Nguyen DB, Malak R, Bouthillier A. Insular cortex epilepsy: an overview. Can J Neurol Sci. 2009 Aug;36 Suppl 2:S58-62. PMID: 19760905.
https://europepmc.org/article/med/19760905
von Lehe M, Parpaley Y. Insular Cortex Surgery for the Treatment of Refractory Epilepsy. J Clin Neurophysiol. 2017 Jul;34(4):333-339. doi: 10.1097/WNP.0000000000000393. PMID: 28520633.
https://journals.lww.com/clinicalneurophys/abstract/2017/07000/insular_cortex_surgery_for_the_treatment_of.7.aspx
Obaid S, Zerouali Y, Nguyen DK. Insular Epilepsy: Semiology and Noninvasive Investigations. J Clin Neurophysiol. 2017 Jul;34(4):315-323. doi: 10.1097/WNP.0000000000000396. PMID: 28644201.
https://journals.lww.com/clinicalneurophys/fulltext/2017/07000/insular_epilepsy__semiology_and_noninvasive.4.aspx
User Testimonials
Reviewed By:
Benjamin Kummer, MD (Neurology)
Dr Kummer is Assistant Professor of Neurology at the Icahn School of Medicine at Mount Sinai (ISMMS), with joint appointment in Digital and Technology Partners (DTP) at the Mount Sinai Health System (MSHS) as Director of Clinical Informatics in Neurology. As a triple-board certified practicing stroke neurologist and informaticist, he has successfully improved clinical operations at the point of care by acting as a central liaison between clinical neurology faculty and DTP teams to implement targeted EHR configuration changes and workflows, as well as providing subject matter expertise on health information technology projects across MSHS. | Dr Kummer also has several years’ experience building and implementing several informatics tools, presenting scientific posters, and generating a body of peer-reviewed work in “clinical neuro-informatics” – i.e., the intersection of clinical neurology, digital health, and informatics – much of which is centered on digital/tele-health, artificial intelligence, and machine learning. He has spearheaded the Clinical Neuro-Informatics Center in the Department of Neurology at ISMMS, a new research institute that seeks to establish the field of clinical neuro-informatics and disseminate knowledge to the neurological community on the effects and benefits of clinical informatics tools at the point of care.
Shohei Harase, MD (Neurology)
Dr. Harase spent his junior and senior high school years in Finland and the U.S. After graduating from the University of Washington (Bachelor of Science, Molecular and Cellular Biology), he worked for Apple Japan Inc. before entering the University of the Ryukyus School of Medicine. He completed his residency at Okinawa Prefectural Chubu Hospital, where he received the Best Resident Award in 2016 and 2017. In 2021, he joined the Department of Cerebrovascular Medicine at the National Cerebral and Cardiovascular Center, specializing in hyperacute stroke.
Think you might have
Insular Cortex Epilepsy
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