Ictus emeticus and the insular cortex

Miguel E Fiol; Ilo E Leppik; Ruy Mireles; Robert Maxwell

doi:10.1016/0920-1211(88)90030-7

Ictus emeticus and the insular cortex

Miguel E Fiol, Ilo E Leppik, Ruy Mireles, Robert Maxwell

Research output: Contribution to journal › Article › peer-review

54 Scopus citations

Abstract

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 occa- sional 'auras' of throat tightening and fear. The case suggests that the insula may be a trigger area for emesis but requires anterior-me- sial temporal cortex for completion.

Original language	English (US)
Pages (from-to)	127-131
Number of pages	5
Journal	Epilepsy Research
Volume	2
Issue number	2
DOIs	https://doi.org/10.1016/0920-1211(88)90030-7
State	Published - 1988

Bibliographical note

Funding Information:
* Dr. Mireles is the recipient Clinical Research Fellowship America. Supported in part of the John Hughings Jackson of the Epilepsy Foundation of by NIH Grant P50-NS16308.

Keywords

Complex partial seizures
Emesis
Epilepsy surgery
Insular cortex

Access

10.1016/0920-1211(88)90030-7

OpenUrl availability

Full text

Cite this

@article{d778548a7f564b148d46386f12b07779,

title = "Ictus emeticus and the insular cortex",

abstract = "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 occa- sional 'auras' of throat tightening and fear. The case suggests that the insula may be a trigger area for emesis but requires anterior-me- sial temporal cortex for completion.",

keywords = "Complex partial seizures, Emesis, Epilepsy surgery, Insular cortex",

author = "Fiol, {Miguel E} and Leppik, {Ilo E} and Ruy Mireles and Robert Maxwell",

note = "Funding Information: * Dr. Mireles is the recipient Clinical Research Fellowship America. Supported in part of the John Hughings Jackson of the Epilepsy Foundation of by NIH Grant P50-NS16308.",

year = "1988",

doi = "10.1016/0920-1211(88)90030-7",

language = "English (US)",

volume = "2",

pages = "127--131",

journal = "Epilepsy Research",

issn = "0920-1211",

publisher = "Elsevier",

number = "2",

}

TY - JOUR

T1 - Ictus emeticus and the insular cortex

AU - Fiol, Miguel E

AU - Leppik, Ilo E

AU - Mireles, Ruy

AU - Maxwell, Robert

N1 - Funding Information: * Dr. Mireles is the recipient Clinical Research Fellowship America. Supported in part of the John Hughings Jackson of the Epilepsy Foundation of by NIH Grant P50-NS16308.

PY - 1988

Y1 - 1988

N2 - 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 occa- sional 'auras' of throat tightening and fear. The case suggests that the insula may be a trigger area for emesis but requires anterior-me- sial temporal cortex for completion.

AB - 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 occa- sional 'auras' of throat tightening and fear. The case suggests that the insula may be a trigger area for emesis but requires anterior-me- sial temporal cortex for completion.

KW - Complex partial seizures

KW - Emesis

KW - Epilepsy surgery

KW - Insular cortex

UR - http://www.scopus.com/inward/record.url?scp=0023833554&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0023833554&partnerID=8YFLogxK

U2 - 10.1016/0920-1211(88)90030-7

DO - 10.1016/0920-1211(88)90030-7

M3 - Article

C2 - 3197686

AN - SCOPUS:0023833554

SN - 0920-1211

VL - 2

SP - 127

EP - 131

JO - Epilepsy Research

JF - Epilepsy Research

IS - 2

ER -

Ictus emeticus and the insular cortex

Abstract

Bibliographical note

Keywords

Access

OpenUrl availability

Other files and links

Fingerprint

Cite this