Insular stroke: neurological features

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Insular stroke: neurological features. The stroke is often cardioembolic. Fully referenced neurology checklist.

Pathology

  • The stroke is often cardioembolic
  • It more frequently occurs in the left hemisphere

Cardinal features

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Neurological features

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Bilateral insular stroke

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Prognosis

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References

  1. Raghu ALB, Parker T, van Wyk A, Green AL. Insula stroke: the weird and the worrisome. Postgrad Med J 2019; 95:497-504.
  2. Fink JN, Selim MH, Kumar S, Voetsch B, Fong WC, Caplan LR. Insular cortex infarction in acute middle cerebral artery territory stroke: predictor of stroke severity and vascular lesion. Arch Neurol 2005; 62:1081-1085.
  3. Kodumuri N, Sebastian R, Davis C, et al. The association of insular stroke with lesion volume. Neuroimage Clin 2016; 11:41-45.
  4. Di Stefano V, De Angelis MV, Montemitro C, et al. Clinical presentation of strokes confined to the insula: a systematic review of literature. Neurol Sci 2021; 42:1697-1704.
  5. Im I, Jun JP, Hwang S, Ko MH. Swallowing outcomes in patients with subcortical stroke associated with lesions of the caudate nucleus and insula. J Int Med Res 2018; 46:3552-3562. 
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