[外侧裂和外侧裂周围癫痫的诊断。岛叶的激发症状]

[Diagnosis of sylvian and perisylvian epilepsies. Excitation symptomes of the insula reilii].

作者信息

Stefan H, Buchfelder M

机构信息

Epilepsiezentrum Erlangen (ZEE) - Neurologische Klinik, Universitätsklinikum, Erlangen.

出版信息

Nervenarzt. 2007 Oct;78(10):1175-81. doi: 10.1007/s00115-007-2287-z.

DOI:10.1007/s00115-007-2287-z

PMID:17503011

Abstract

The insula is a hidden part in the cerebral cortex about which relatively little neurological research has been done. The present manuscript describes architectural and evolutionary aspects of the insula reilii as well as its function, towards a better understanding of seizure semiology. As the literature of such casuistry is poor, some own cases are presented. Seizure semiology, imaging, magnetoencephalographic reports, resective epilepsy surgery, radiosurgical treatments, and thermolesions are described. Magnetic source imaging as noninvasive treatment can deliver important information for the involvement of sylvian and perisylvian regions in focal pharmacoresistant epilepsies.

摘要

脑岛是大脑皮层中一个隐藏的部分，关于它的神经学研究相对较少。本手稿描述了岛叶直回的结构和进化方面以及其功能，以更好地理解癫痫发作的症状学。由于此类个案的文献较少，故呈现了一些自身病例。描述了癫痫发作症状学、影像学、脑磁图报告、切除性癫痫手术、放射外科治疗和热损伤。作为非侵入性治疗的磁源成像可为大脑外侧裂和外侧裂周围区域在局灶性药物难治性癫痫中的受累情况提供重要信息。