Insular stroke: systemic features

Evidence-based neurology checklist on insular stroke: systemic features: Cardiac and autonomic features Cardiovascular autonomic dysfunction New-onset atrial fibrillation (N-AF) Complex arrhythmias Raised cardiac troponin Reduced heart rate variability Sudden/cardiac death Takotsubo cardiomyopathy…

Cardiac and autonomic features

  • Cardiovascular autonomic dysfunction
  • New-onset atrial fibrillation (N-AF)
  • Complex arrhythmias
  • Raised cardiac troponin 
  • Reduced heart rate variability
  • Sudden/cardiac death
  • Takotsubo cardiomyopathy
  • QTc, T-wave, and ST segment abnormalities

Vestibular and auditory features

Gustatory features

Respiratory features

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. Eguchi S, Hirose G, Miaki M. Vestibular symptoms in acute hemispheric strokes. J Neurol 2019; 266:1852-1858.

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