Non-lesional eating epilepsy with temporo-insular onset: A stereo-EEG study
Eating Epilepsy (EE) is a rare and often under-recognized form of reflex epilepsy, which manifests with seizures triggered during meals, with or without spontaneous seizures. The electro-clinical manifestations of EE are distinct with variable response to antiseizure drugs. We report the case of a 3...
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| Format: | Article |
| Language: | English |
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Elsevier
2020-01-01
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| Series: | Epilepsy & Behavior Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2589986420300162 |
| _version_ | 1818389232740204544 |
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| author | Mubarak M. Aldosari Holger Joswig Ana Suller Marti Andrew Parrent Seyed M. Mirsattari |
| author_facet | Mubarak M. Aldosari Holger Joswig Ana Suller Marti Andrew Parrent Seyed M. Mirsattari |
| author_sort | Mubarak M. Aldosari |
| collection | DOAJ |
| description | Eating Epilepsy (EE) is a rare and often under-recognized form of reflex epilepsy, which manifests with seizures triggered during meals, with or without spontaneous seizures. The electro-clinical manifestations of EE are distinct with variable response to antiseizure drugs. We report the case of a 34-year-old man who was seen for a 4-year history of drug-resistant focal impaired awareness seizures associated with eating without a structural cause. Scalp video-EEG delineated a right temporal seizure focus with atypical features. Subsequent stereo-EEG revealed synchronized seizure onset from the right mesial temporal region and the right inferior insula. Resective surgery of the involved areas rendered this patient seizure-free with 3 years' follow-up. In non-lesional cases of drug-resistant EE, the epileptogenic zone can be large and deep, and therefore stereo-EEG was helpful in determining the seizure onset zone. |
| first_indexed | 2024-12-14T04:38:28Z |
| format | Article |
| id | doaj.art-6e55cd5187bc40f380e6169b02d1d604 |
| institution | Directory Open Access Journal |
| issn | 2589-9864 |
| language | English |
| last_indexed | 2024-12-14T04:38:28Z |
| publishDate | 2020-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Epilepsy & Behavior Reports |
| spelling | doaj.art-6e55cd5187bc40f380e6169b02d1d6042022-12-21T23:16:51ZengElsevierEpilepsy & Behavior Reports2589-98642020-01-0114100368Non-lesional eating epilepsy with temporo-insular onset: A stereo-EEG studyMubarak M. Aldosari0Holger Joswig1Ana Suller Marti2Andrew Parrent3Seyed M. Mirsattari4Epilepsy Program, Department of Clinical Neurological Sciences, Western University, London, Ontario, Canada; Epilepsy Program, National Neuroscience Institute, King Fahad Medical City, Riyadh, Saudi Arabia; Corresponding author at: Department of Clinical Neurological Sciences, Western University, Room B10-106, 339 Windermere Road, London, ON N6A 5A5, Canada.Epilepsy Program, Department of Clinical Neurological Sciences, Western University, London, Ontario, CanadaEpilepsy Program, Department of Clinical Neurological Sciences, Western University, London, Ontario, CanadaEpilepsy Program, Department of Clinical Neurological Sciences, Western University, London, Ontario, CanadaEpilepsy Program, Department of Clinical Neurological Sciences, Western University, London, Ontario, Canada; Department of Medical Biophysics, Western University, London, Ontario, Canada; Department of Medical Imaging, Western University, London, Ontario, Canada; Department of Psychology, Western University, London, Ontario, CanadaEating Epilepsy (EE) is a rare and often under-recognized form of reflex epilepsy, which manifests with seizures triggered during meals, with or without spontaneous seizures. The electro-clinical manifestations of EE are distinct with variable response to antiseizure drugs. We report the case of a 34-year-old man who was seen for a 4-year history of drug-resistant focal impaired awareness seizures associated with eating without a structural cause. Scalp video-EEG delineated a right temporal seizure focus with atypical features. Subsequent stereo-EEG revealed synchronized seizure onset from the right mesial temporal region and the right inferior insula. Resective surgery of the involved areas rendered this patient seizure-free with 3 years' follow-up. In non-lesional cases of drug-resistant EE, the epileptogenic zone can be large and deep, and therefore stereo-EEG was helpful in determining the seizure onset zone.http://www.sciencedirect.com/science/article/pii/S2589986420300162Eating epilepsyInsulaReflex seizuresPerisylvian regionStereo-electroencephalography |
| spellingShingle | Mubarak M. Aldosari Holger Joswig Ana Suller Marti Andrew Parrent Seyed M. Mirsattari Non-lesional eating epilepsy with temporo-insular onset: A stereo-EEG study Epilepsy & Behavior Reports Eating epilepsy Insula Reflex seizures Perisylvian region Stereo-electroencephalography |
| title | Non-lesional eating epilepsy with temporo-insular onset: A stereo-EEG study |
| title_full | Non-lesional eating epilepsy with temporo-insular onset: A stereo-EEG study |
| title_fullStr | Non-lesional eating epilepsy with temporo-insular onset: A stereo-EEG study |
| title_full_unstemmed | Non-lesional eating epilepsy with temporo-insular onset: A stereo-EEG study |
| title_short | Non-lesional eating epilepsy with temporo-insular onset: A stereo-EEG study |
| title_sort | non lesional eating epilepsy with temporo insular onset a stereo eeg study |
| topic | Eating epilepsy Insula Reflex seizures Perisylvian region Stereo-electroencephalography |
| url | http://www.sciencedirect.com/science/article/pii/S2589986420300162 |
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