Focal seizures associated with the chapeau de gendarme sign or ictal pouting of insular origin.
Chapeau de gendarme
Epilepsy
Focal
Ictal pouting
Insula
SEEG
Journal
Epilepsy & behavior reports
ISSN: 2589-9864
Titre abrégé: Epilepsy Behav Rep
Pays: United States
ID NLM: 101750909
Informations de publication
Date de publication:
2019
2019
Historique:
received:
12
08
2019
revised:
10
11
2019
accepted:
11
11
2019
entrez:
13
12
2019
pubmed:
13
12
2019
medline:
13
12
2019
Statut:
epublish
Résumé
We report a teenager with childhood onset focal seizures associated with the chapeau de gendarme sign or ictal pouting of anterior insular lobe origin. The chapeau de gendarme sign has been associated with frontal lobe seizures in patients with focal epilepsy. However, in this case, stereo-electroencephalography (SEEG) localized seizures to the anterior insular cortex prior to her typical clinical manifestations. Surgical resection of the insular and frontal-lobe network resulted in seizure freedom. We propose that the anterior insular cortex should be a site of investigation during pre-surgical phase 2 evaluation in patients exhibiting the chapeau de gendarme sign during focal seizures.
Identifiants
pubmed: 31828237
doi: 10.1016/j.ebr.2019.100347
pii: S2589-9864(19)30131-5
pii: 100347
pmc: PMC6888707
doi:
Types de publication
Journal Article
Langues
eng
Pagination
100347Informations de copyright
Crown Copyright © 2019 Published by Elsevier Inc.
Références
Epilepsia. 2014 Feb;55(2):264-77
pubmed: 24372328
Cortex. 2012 Feb;48(2):144-55
pubmed: 22176870
Brain. 2001 Sep;124(Pt 9):1683-700
pubmed: 11522572
Epilepsy Behav. 2015 Mar;44:260
pubmed: 25659183
Epilepsy Behav Case Rep. 2017 Apr 22;8:27-30
pubmed: 29204345
Nat Neurosci. 2000 Nov;3(11):1077-8
pubmed: 11036262
Epilepsy Behav. 2014 Aug;37:249-57
pubmed: 25108117
Cereb Cortex. 2017 Feb 1;27(2):1216-1228
pubmed: 26683170
Neurology. 2016 Sep 6;87(10):e103-5
pubmed: 27597558
Arch Neurol. 1992 Aug;49(8):801-8
pubmed: 1524512
Prog Neurobiol. 2012 Sep;98(3):302-15
pubmed: 22480752
Seizure. 2019 Jul;69:44-50
pubmed: 30974406
Pract Neurol. 2018 Oct;18(5):410-412
pubmed: 29572352
Epilepsia. 2006 Apr;47(4):755-65
pubmed: 16650142
J Clin Neurophysiol. 2017 Jul;34(4):300-306
pubmed: 28644199
Neurosci Biobehav Rev. 2011 Jan;35(3):903-11
pubmed: 20974173
Epilepsy Behav. 2015 Mar;44:258-9
pubmed: 25669591