Insular seizures
Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .
Insular seizures. The insula is also known as the Island of Reil. It is located at the base of the Sylvian fissure. Fully referenced neurology checklist.
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
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Cardiorespiratory features
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Sensory and autonomic features
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Motor features
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Complications
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Differential diagnosis
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Autoimmune associations
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Investigations
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Treatment
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References
- Wynford-Thomas R, Powell R. Navigating the Island of Reil: how to understand the insular cortex. Pract Neurol 2017; 17:122-126.
- Kurukumbi M, Leiphart J, Singer L. A rare case of insular epilepsy: not to be missed in refractory epilepsy patients. Cureus 2019; 11:e5434.
- Isnard J, Guénot M, Sindou M, Mauguière F. Clinical manifestations of insular lobe seizures: a stereo-electroencephalographic study. Epilepsia 2004; 45:1079-1090.
- Isnard J, Hagiwara K, Montavont A, et al. Semiology of insular lobe seizures. Rev Neurol (Paris) 2019; 175:144-149.
- Jobst BC, Gonzalez-Martinez J, Isnard J, et al. The insula and its epilepsies. Epilepsy Curr 2019; 19:11-21.
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