Strokes restricted to the insular cortex

被引:220
作者
Cereda, C [1 ]
Ghika, J [1 ]
Maeder, P [1 ]
Bogousslavsky, J [1 ]
机构
[1] CHU Vaudois, Dept Neurol, CH-1011 Lausanne, Switzerland
关键词
D O I
10.1212/01.WNL.0000038905.75660.BD
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Objective: To characterize clinically acute insular strokes from four patients with a first ever acute stroke restricted to the insula on MRI. Methods: The authors studied the clinical presentation of four patients with a first ever acute stroke restricted to the insula on MRI. Results: The authors found five main groups of clinical presentations: 1) somatosensory deficits in three patients with posterior insular stroke (two with a transient pseudothalamic sensory syndrome, one with partial distribution); 2) gustatory disorder in a patient with left posterior insular infarct; 3) vestibular-like syndrome, with dizziness, gait instability, and tendency to fall, but no nystagmus, in three patients with posterior insular strokes; 4) cardiovascular disturbances, consisting of hypertensive episodes in a patient with a right posterior insular infarct; and 5) neuropsychological disorders, including aphasia (left posterior insula), dysarthria, and transient somatoparaphrenia (light posterior insula). Conclusion: Strokes restricted to the posterior insula may, present with pseudothalamic sensory and vestibular-like syndromes as prominent clinical manifestations, but also dysarthria and aphasia (in left lesions), sornatoparaphrenia. (right lesions) and gustatory dysfunction and blood pressure with hypertensive episodes in right lesions; we did not find acute dysphagia reported in anterior, insular strokes.
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页码:1950 / 1955
页数:6
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