Ictal Focus on the Bialateral Claustrum in a Case of Insular Seizure Manifesting as Status Epilepticus.
- Author:
Soochul PARK
1
;
Ji Yoon KIM
;
Hyung Jun PARK
;
Yoseob WON
;
Yeung Yeuob KIM
;
Hae Jeong PARK
;
Jong Doo LEE
Author Information
1. Department of Neurology, Yonsei University College of Medicine, Seoul, Korea. scpark@yumc.yonsei.ac.kr
- Publication Type:Case Report
- Keywords:
Insular lobe seizure;
Claustrum;
Neuroimages
- MeSH:
Adult;
Basal Ganglia*;
Brain;
Consciousness;
Female;
Humans;
Korea;
Magnetic Resonance Imaging;
Neuroimaging;
Seizures*;
Sensation;
Status Epilepticus*
- From:Journal of the Korean Neurological Association
2006;24(4):372-377
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Insular lobe seizure (ILS) is very rare and ictal focus has not been documented by neuroimaging studies. Clinical characteristics consist of clearly preserved consciousness, visceral sensation, somatomotor symptoms, and dysphonic or dysarthric speech. We report a 34-year-old female with ILS, manifesting as first onset status epilepticus. SISCOM and SPM analysis through brain MRI and 18F FDG PET-CT reveals ictal focus on the bilateral claustrum, which has a close relationship with insula anatomically. This is the first case report in Korea.