Book contents
- Insular Epilepsies
- Insular Epilepsies
- Copyright page
- Contents
- Contributors
- Foreword
- Chapter 1 A Brief History of Insular Cortex Epilepsy
- Section 1 The Human Insula from an Epileptological Standpoint
- Section 2 The Spectrum of Epilepsies Involving the Insula
- Section 3 Noninvasive Investigation of Insular Epilepsy
- Section 4 Invasive Investigation of Insular Epilepsy
- Section 5 Surgical Management of Insular Epilepsy
- Chapter 22 Insular Epilepsy Surgery: Surgical Techniques and Experience of Various Centers
- Chapter 23 Stereoelectroencephalography (SEEG)–Guided Radiofrequency Thermocoagulation (RFTC) of Insular Epileptic Foci
- Chapter 24 Neurostimulation for the Treatment of Insular Epilepsy
- Chapter 25 Laser Interstitial Thermal Therapy (LITT) for Insular Epilepsy
- Epilogue
- Index
Epilogue
from Section 5 - Surgical Management of Insular Epilepsy
Published online by Cambridge University Press: 09 June 2022
- Insular Epilepsies
- Insular Epilepsies
- Copyright page
- Contents
- Contributors
- Foreword
- Chapter 1 A Brief History of Insular Cortex Epilepsy
- Section 1 The Human Insula from an Epileptological Standpoint
- Section 2 The Spectrum of Epilepsies Involving the Insula
- Section 3 Noninvasive Investigation of Insular Epilepsy
- Section 4 Invasive Investigation of Insular Epilepsy
- Section 5 Surgical Management of Insular Epilepsy
- Chapter 22 Insular Epilepsy Surgery: Surgical Techniques and Experience of Various Centers
- Chapter 23 Stereoelectroencephalography (SEEG)–Guided Radiofrequency Thermocoagulation (RFTC) of Insular Epileptic Foci
- Chapter 24 Neurostimulation for the Treatment of Insular Epilepsy
- Chapter 25 Laser Interstitial Thermal Therapy (LITT) for Insular Epilepsy
- Epilogue
- Index
Summary
Insular epilepsy has come into focus quite late in the field of epileptology. This entity was forgotten between the 1960s and 1980s by the last generation of epileptologists who were busy leading the fight for a localization approach and anatomo-electro-clinical correlations. This lengthy period is well documented in the first chapter of this work. This drift may be attributed to various restrictions, mostly technical: the insular cortex does not appear on the surface of the brain but is the seat of a plethoric vascularization that supplies blood to motor fibers in the centrum ovale through its network of perforating arteries. Therefore, it could not be operated without exposing the patient to unreasonable risks for the goal intended. It could not also be explored invasively without the risk of causing a hemorrhage due to the necessity of crossing a triple curtain of pial arteries. The condemnation was heard: “exploring the insula, at best, is useless, and at worst, dangerous.”
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- Insular Epilepsies , pp. 299Publisher: Cambridge University PressPrint publication year: 2022