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 Jan 19, 2024
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Limbs feels rigid and unable to move
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Paresthesia with generalized distribution
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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
Your doctor may ask these questions to check for this disease:
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.
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.aspxNguyen 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.aspxNguyen 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/19760905von 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.aspxObaid 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.aspxThis symptom checker site is a great resource to either get an idea of what is happening inside your body or even get a second opinion without incurring another huge bill. It also provides a way to connect with a professional if needed. I really enjoy this site.
Aug 30, 2024 (Female, 40s)
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.
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