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Alexander G. Weil, Aria Fallah, Evan C. Lewis and Sanjiv Bhatia

demonstrating the different techniques for insular sampling. FIG. 2. Medical illustration demonstrating the different techniques for insular sampling. Copyright Sanjiv Bhatia. Published with permission. SEEG = stereo-EEG. Patient Positioning and Craniotomy With the patient supine, the head is rotated 45° to 60° to the contralateral side and fixed in place with a 3-point Mayfield head holder ( Video 1 and Fig. 3B ). VIDEO 1. Video illustrating technique for placement of transsylvian parasagittal insular depth electrode for suspected ILE. alg = anterior

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Alexander G. Weil, Ngoc Minh D. Le, Prasanna Jayakar, Trevor Resnick, Ian Miller, Aria Fallah, Michael Duchowny and Sanjiv Bhatia

. Literature review of insular resection for refractory partial insular/perisylvian epilepsy in the pediatric population Authors & Year Age (yrs), Sex Initial Sz Manifestation Preop Deficit Findings Location Resection Deficit FU (mos) Engel Class Pathology MRI EEG Ictal SPECT PET SEEG Levitt et al., 2010 2, F Staring, motor (bilat arm extension), lt head version No CD: lt temporal operc & ins Lt TP Lt 1) ECoG, frontal & parietal operc, & partial ins; 2) Complete ins, FO, STG