Choking,asphyxiation and the insular seizure |
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| Affiliation: | 1. Department of Neurology, Royal North Shore Hospital and University of Sydney, Sydney, Australia;2. Department of Neurology, Austin Health and University of Melbourne, Melbourne, VIC, Australia;1. Clinic of Neurology, Pomeranian Medical University, Unii Lubelskiej 1, 71-252 Szczecin, Poland;2. Department of Experimental and Clinical Pharmacology, Pomeranian Medical University, Szczecin, Poland;3. Clinic of Gynaecology and Urogynaecology, Pomeranian Medical University, Police, Poland;1. Department of Neurological Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan, ROC;2. Department of Pathology, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan, ROC;3. Department of Internal Medicine, Division of Hematology & Oncology, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan, ROC;1. Department of Neurosurgery, Hadassah-Hebrew University Medical Center, Ein Kerem, P.O. Box 12000, Jerusalem 91120, Israel;2. Department of Endovascular Neurosurgery and Interventional Neuroradiology, Hadassah-Hebrew University Medical Center, Jerusalem, Israel;3. Department of Neurosurgery, Soroka Medical Center, Beer Sheva, Israel;1. Dardinger Microneurosurgical Skull Base Laboratory, Department of Neurological Surgery, Ohio State University Medical Center, Columbus, OH, USA;2. Department of Neurological Surgery, Cleveland Clinic, 9500 Euclid Avenue, S40, Cleveland, OH 44195, USA;3. Department of Radiology and Wright Center of Innovation in Biomedical Imaging, Ohio State University, Columbus, OH, USA;1. Department of Neurosurgery, Sri Satya Sai Institute of Higher Medical Sciences, Bangalore, India;2. Department of Pathology, Sri Satya Sai Institute of Higher Medical Sciences, EPIP Area, Whitefield, Bangalore 560 066, India;3. Department of Radiology, Sri Satya Sai Institute of Higher Medical Sciences, Bangalore, India;1. Ohio State University Wexner Medical Center, Department of Neurosurgery, N1014 Doan Hall, 410 West 10th Avenue, Columbus, OH 43210, USA;2. Ohio State University Wexner Medical Center, Department of Neurology, Columbus, OH, USA |
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| Abstract: | The insular cortex is located deep within the Sylvian fissure, and has rich connections. We describe two patients with focal epilepsy arising from this area, with symptoms of choking and strangulation during consciousness. Clinicians should be aware of this unusual presentation and that interictal electroencephalography can be normal. |
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| Keywords: | Choking Insular Opercular Seizure |
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