Fiol M E, Leppik I E, Mireles R, Maxwell R
Comprehensive Epilepsy Program, University of Minnesota, Minneapolis 55414.
Epilepsy Res. 1988 Mar-Apr;2(2):127-31. doi: 10.1016/0920-1211(88)90030-7.
A 30-year-old man had a long history of seizures that began with feelings of tightness in his throat and fear, followed by projectile vomiting and head and eye deviation to the left. These episodes were not completely controlled by antiepileptic medications. Video EEG monitoring confirmed his clinical description. Corticography was performed before and after temporal lobectomy and revealed residual spikes in the unresectable tissue of the insula. Three years postoperatively he has had no seizures with vomiting but has occasional 'auras' of throat tightening and fear. The case suggests that the insula may be a trigger area for emesis but requires anterior-mesial temporal cortex for completion.
一名30岁男性有长期癫痫发作史，发作始于喉咙发紧和恐惧的感觉，随后是喷射性呕吐以及头部和眼睛向左偏斜。这些发作不能完全被抗癫痫药物控制。视频脑电图监测证实了他的临床描述。在颞叶切除术前和术后进行了皮质电图检查，结果显示岛叶不可切除组织中有残留棘波。术后三年，他没有出现伴有呕吐的癫痫发作，但偶尔会有喉咙发紧和恐惧的“先兆”。该病例表明，岛叶可能是呕吐的触发区域，但呕吐的完成需要颞叶前内侧皮质。
