NDLI: Insular strokes cause no vestibular deficits.

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Insular strokes cause no vestibular deficits.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Conrad, Julian Zu Eulenburg, Peter Müller-Forell, Wibke Dieterich, Marianne Birklein, Frank Baier, Bernhard Best, Christoph
Description	Country affiliation: Germany Author Affiliation: Baier B ( Department of Neurology and Focus Program Translational Neurosciences, University Medical Centre of the Johannes Gutenberg University, Mainz, Germany. baierb@uni-mainz.de)
Abstract	BACKGROUND AND PURPOSE: In previous imaging studies, the posterior insular cortex (IC) was identified as an essential part for vestibular otolith perception and considered as a core region of a human vestibular cortical network. However, it is still unknown whether lesions exclusively restricted to the posterior IC suffice to provoke signs of vestibular otolith dysfunction. Thus, present data aimed to test whether patients with lesions restricted to the IC showed vestibular otolith dysfunction. METHODS: We studied 10 acute unilateral stroke patients with lesions restricted to the IC which were tested for signs of vestibular otolith dysfunction, such as tilts of subjective visual vertical, out of 475 stroke patients. RESULTS: None of the patients was with stroke exclusively affecting the IC-specified vertigo as a symptom. In addition, neither showed a deficit in the perception of verticality (subjective visual vertical tilts) nor showed any further vestibular otolith deficits, such as ocular torsion or skew deviation. CONCLUSIONS: It seems that lesions of the posterior IC might have to be combined with lesions of adjacent regions of the cortical and subcortical vestibular network to cause vestibular otolith deficits.
ISSN	00392499
e-ISSN	15244628
Journal	Stroke
Issue Number	9
Volume Number	44
Language	English
Publisher	Lippincott Williams & Wilkins (on behalf of the American Heart Association)
Publisher Date	2013-09-01
Publisher Place	United States
Access Restriction	Open
Subject Keyword	Cerebral Cortex Physiopathology Stroke Classification Complications Vestibular Diseases Etiology Pathology Otolithic Membrane Vertigo Diagnosis Research Support, Non-u.s. Gov't Discipline Cardiology
Content Type	Text
Resource Type	Article
Subject	Cardiology and Cardiovascular Medicine Neuroscience Advanced and Specialized Nursing Neurology (clinical)

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