Article Text
Abstract
In reflex epilepsies, alteration of γ oscillations may mediate transition between interictal and ictal states. Here, we explored a patient having seizures triggered by syrup intake. From intracranial electroencephalography combined with functional MRI, the overlap of the gustatory cortex and of the preictal and ictal onset zones, as defined by early gamma changes, motivated the successful resective surgery of the middle short gyrus of the right insula. This case provides a rare demonstration from human gamma activity that the route to seizure may be supported by the interplay between physiological and epileptogenic networks.
- Case report
- eating seizures
- functional MRI
- gamma oscillations
- gustatory cortex
- insula
- reflex epilepsy
- stereo-electroencephalography
- brain mapping
- EEG
- epilepsy
- surgery
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Footnotes
Funding INSERM.
Competing interests None.
Patient consent Obtained.
Ethics approval Ethics approval was provided by the Comité de Protection des Personnes, Grenoble University Hospital.
Provenance and peer review Not commissioned; externally peer reviewed.