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For decades, there has been a tendency to ignore the insular lobe, and to regard each hemisphere as composed of only four lobes: frontal, temporal, parietal and occipital [1]. However, it is clear that epileptic seizures can originate in the insula. Because the insula is widely connected, it can be challenging to identify the precise origin of insular seizures clinically. Most sensations that could be attributable to insular discharges could have originated in several cortical structures around the operculum connected with the insula or in the insula itself.