Insular stroke: systemic features
Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .
Insular stroke: systemic features. Cardiovascular autonomic dysfunction, New-onset atrial fibrillation (N-AF). Fully referenced neurology checklist.
Cardiac and autonomic features
- Cardiovascular autonomic dysfunction
- New-onset atrial fibrillation (N-AF)
- Complex arrhythmias
- Raised cardiac troponinÂ
- Reduced heart rate variability
- Sudden/cardiac death
- Takotsubo cardiomyopathy
- QTc, T-wave, and ST segment abnormalities
Vestibular and auditory features
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Gustatory features
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Respiratory features
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References
- Raghu ALB, Parker T, van Wyk A, Green AL. Insula stroke: the weird and the worrisome. Postgrad Med J 2019; 95:497-504.
- 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.
- Kodumuri N, Sebastian R, Davis C, et al. The association of insular stroke with lesion volume. Neuroimage Clin 2016; 11:41-45.
- Eguchi S, Hirose G, Miaki M. Vestibular symptoms in acute hemispheric strokes. J Neurol 2019; 266:1852-1858.
