title: Choking, asphyxiation and the insular seizure.
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.
authors.affiliation: Department of Neurology, Royal North Shore Hospital and University of Sydney, Sydney, Australia.
authors.forename: Nimeshan
authors.initials: N
authors.lastname: Geevasinga
authors.affiliation: Department of Neurology, Austin Health and University of Melbourne, Melbourne, VIC, Australia.
authors.forename: John Stephen
authors.initials: JS
authors.lastname: Archer
authors.affiliation: Department of Neurology, Royal North Shore Hospital and University of Sydney, Sydney, Australia. Electronic address: kng@med.usyd.edu.au.
authors.forename: Karl
authors.initials: K
authors.lastname: Ng
mesh_terms: D000328:Adult; D000402:Airway Obstruction; D002540:Cerebral Cortex / Q000473:pathology*; D003937:Diagnosis, Differential; D004828:Epilepsies, Partial / Q000150:complications / Q000175:diagnosis* / Q000473:pathology*; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D012640:Seizures / Q000175:diagnosis* / Q000209:etiology / Q000473:pathology*; D055815:Young Adult
keywords: Choking; Insular; Opercular; Seizure