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Khachatryan R.G.

Almazov National Medical Research Center

Alekseeva T.M.

Almazov National Medical Research Center

Khachatryan V.A.

Almazov National Medical Research Center

Sebelev K.I.

Almazov National Medical Research Center

Alekseeva N.P.

Almazov National Medical Research Center

Clinical features of temporal lobe epilepsy with involvement of the insular lobe

Authors:

Khachatryan R.G., Alekseeva T.M., Khachatryan V.A., Sebelev K.I., Alekseeva N.P.

More about the authors

Journal: S.S. Korsakov Journal of Neurology and Psychiatry. 2021;121(6): 7‑12

DOI: 10.17116/jnevro20211210617

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Table of contents

CLINICAL FEATURES OF TEMPORAL LOBE EPILEPSY WITH INVOLVEMENT OF THE INSULAR LOBE
CLINICAL FEATURES OF TEMPORAL LOBE EPILEPSY WITH INVOLVEMENT OF THE INSULAR LOBE

To cite this article:

Khachatryan RG, Alekseeva TM, Khachatryan VA, Sebelev KI, Alekseeva NP. Clinical features of temporal lobe epilepsy with involvement of the insular lobe. S.S. Korsakov Journal of Neurology and Psychiatry. 2021;121(6):7‑12. (In Russ.)
https://doi.org/10.17116/jnevro20211210617

Подписка 2026 Журнал неврологии и психиатрии им. С.С. Корсакова (S.S. Korsakov Journal of Neurology and Psychiatry)
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Abstract:

OBJECTIVE

To determine the clinical features of the course of the disease when the insular lobe is involved in the epileptic process.

MATERIAL AND METHODS

A comparative analysis of the results of diagnosis and treatment of 55 patients with temporal lobe epilepsy and 46 patients with temporal plus epilepsy was carried out. The results of neuroimaging, clinical and EEG studies were compared.

RESULTS

Autonomic paroxysms of nausea and hypersalivation, skin changes, simple motor seizures, emotional seizure and sensory paroxysms are the most reliable signs of the involvement of the insular lobe in the epileptic process in temporal plus epilepsy. For ‘pure’ temporal lobe epilepsy, cognitive paroxysms of the déjà vu and aura are common. When the insular lobe is involved in the epileptic process, the seizures have a reliably high frequency, polymorphism and are more complex by structure.

CONCLUSION

Paroxysmal syndrome in temporal plus epilepsy with involvement of the insular lobe undergoes significant changes in the form of increased seizures and the appearance of specific seizures and characteristic polymorphism.

Keywords:

insula
epilepsy
insular epilepsy
surgical treatment of epilepsy

Authors:

Khachatryan R.G.

Almazov National Medical Research Center

Alekseeva T.M.

Almazov National Medical Research Center

Khachatryan V.A.

Almazov National Medical Research Center

Sebelev K.I.

Almazov National Medical Research Center

Alekseeva N.P.

Almazov National Medical Research Center

Received:

05.05.2020

Accepted:

29.06.2020

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References:

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