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
- Chapter 7 Clinical Presentation of Insulo-Opercular Epilepsy in Adults
- Chapter 8 Clinical Presentation of Insulo-Opercular Epilepsy in Children
- Chapter 9 Are Painful Seizures Specific to Insular Epilepsy?
- Chapter 10 The Role of the Insula in Temporal Lobe Epilepsy and Temporal Lobe “Plus” Epilepsies
- Chapter 11 Insular-Origin Seizures with a Hypermotor Presentation
- Chapter 12 The Role of the Insula in Sudden Unexpected Death in Epilepsy (SUDEP)
- Section 3 Noninvasive Investigation of Insular Epilepsy
- Section 4 Invasive Investigation of Insular Epilepsy
- Section 5 Surgical Management of Insular Epilepsy
- Index
- References
Chapter 9 - Are Painful Seizures Specific to Insular Epilepsy?
from Section 2 - The Spectrum of Epilepsies Involving the Insula
Published online by Cambridge University Press: 09 June 2022
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
- Chapter 7 Clinical Presentation of Insulo-Opercular Epilepsy in Adults
- Chapter 8 Clinical Presentation of Insulo-Opercular Epilepsy in Children
- Chapter 9 Are Painful Seizures Specific to Insular Epilepsy?
- Chapter 10 The Role of the Insula in Temporal Lobe Epilepsy and Temporal Lobe “Plus” Epilepsies
- Chapter 11 Insular-Origin Seizures with a Hypermotor Presentation
- Chapter 12 The Role of the Insula in Sudden Unexpected Death in Epilepsy (SUDEP)
- Section 3 Noninvasive Investigation of Insular Epilepsy
- Section 4 Invasive Investigation of Insular Epilepsy
- Section 5 Surgical Management of Insular Epilepsy
- Index
- References
Summary
Painful epileptic seizures are scarce and can be a diagnostic challenge, as they may occur as the sole manifestation of seizures. Three categories are distinguished: (1) ictal epileptic headache; (2) ictal abdominal pain; and (3) painful somatosensory seizures, during which patients complain of acute and intense pain affecting part of the body. According to the intracranial EEG recordings, the insulo-opercular cortex and the mesial temporal lobe are implicated in the occurrence of ictal epileptic headache. Such is the case for ictal abdominal pain with the addition of the anterior cingulate gyrus. Stereo-electroencephalography data strongly suggest that painful somatosensory seizures originate in the posterior insula and the secondary sensory area. While ictal epileptic headache and painful abdominal seizures may correspond to an autonomic response resulting from the activation of a central autonomic network, painful somatosensory seizures result from the activation of a central pain network (i.e., the Pain Matrix or Salient Matrix).
Keywords
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- Insular Epilepsies , pp. 98 - 109Publisher: Cambridge University PressPrint publication year: 2022
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