양측 전장에 간질 병소를 보인 간질중첩으로 발현한 섬엽간질 1예 = Ictal Focus on the Bialateral Claustrum in a Case of Insular Seizure Manifesting as Status Epilepticus

다국어 초록 (Multilingual 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.

참고문헌 (Reference)

1 "The role of the insular cortex in temporal lobe epilepsy" 48 : 614-623, 2000

2 "Regional anatomy of the brain" Williams & Wilkins 25-64, 1996

3 "Medically intractable epilepsy from insular low-grade glioma:improvement after an extended lesionectomy" 144 : 563-573, 2002

4 "Kindling of claustrum and insular cortex:comparison to perirhinal cortex in the rat" 13 : 1501-1519, 2001

5 "Insular cortex involvement in mesiotemporal lobe epilepsy:a positron emission tomography study" 51 : 202-208, 2002

6 "Functional mapping of the insular cortex:clinical implication in temporal lobe epilepsy" 41 : 681-686, 2000

7 "Functional anatomy of the insula:new insights from imaging" 25 : 113-119, 2003

8 "Evaluation of insular ablation in surgical treatment of temporal lobe epilepsy" 5 : 307-320, 1964

9 "Epilepsy and the functional anatomy of the human brain" Little, Brown 517-518, 1954

10 "Clinical manifestations of insular lobe seizures:a stereo-electroencephalographic study" 45 : 1079-1090, 2004