BACKGROUND AND PURPOSE In patients with acute ischemic stroke, whether involvement of the insular cortex influences outcome is controversial. Much of the apparent adverse outcome may relate to such strokes usually being severe. We examined the influence of right and left insular involvement on stroke outcomes among patients from the IST-3 study (Third International Stroke Trial) who had visible...

Strokes involving the insular cortex tend to be more severe. Preliminary evidence suggests that insular involvement is associated with poorer functional outcome after ischemic stroke regardless of infarct size, as well as with higher case fatality rates. However, these associations are controversial. The pathophysiological mechanisms explaining the apparent association of insular involvement wi...

Acid-sensing ion channel 1a (ASIC1a) has been shown to play important roles in synaptic plasticity, learning and memory. Here we identify a crucial role for ASIC1a in long-term depression (LTD) at mouse insular synapses. Genetic ablation and pharmacological inhibition of ASIC1a reduced the induction probability of LTD without affecting that of long-term potentiation in the insular cortex. The d...

The insular cortex has been considered to be the neural base of visceral sensation for many years. Previous studies in psychology and cognitive neuroscience have accumulated evidence indicating that interoception is an essential factor in the subjective feeling of emotion. Recent neuroimaging studies have demonstrated that anterior insular cortex activation is associated with accessing interoce...

PURPOSE In recent years, there have been series analysing the electro-clinical correlations of insular epilepsy in adult populations. In contrast, the ictal semiology in children with insular epilepsy is poorly described. Considering that early and successful surgery may greatly improve the cognitive outcome and quality of life, it is worthwhile to deepen our knowledge of insular epilepsy in ch...

BACKGROUND Precise localization of an epileptic focus in the perisylvian/insular area is a major challenge. The difficult access and the high density of blood vessels within the sylvian fissure have lead to poor coverage of intrasylvian (opercular and insular) cortex by available electrodes. OBJECTIVE To report the creation of a novel electrode designed to record epileptic activity from both ...

James H. Kaufman Christopher A. Elkins Matthew Davis Allison M. Weis Bihua C. Huang Mark K. Mammel Isha Patel Kristen L. Beck Stefan Edlund David Chambliss Simone Bianco <s...

We report the response properties of the suprasylvian opercular and insular cortices to a painful stimulation delivered by a CO(2) laser recorded by depth intracerebral electrodes in epileptic patients. We defined two cortical areas of activation in the operculo-insular cortex in response to a painful laser stimulation: a suprasylvian opercular area, where we recorded responses peaking 140-170 ...

BACKGROUND AND PURPOSE Insular cortex ischemia is proposed to mediate a sympathetic stimulus that leads to acute hyperglycemia after stroke. METHODS We retrospectively analyzed insular perfusion on perfusion CT (median 180 minutes after onset) in 35 patients. RESULTS We found no association of hypoperfusion (relative cerebral blood flow <0.51) with early (<6 hours) or delayed (<72 hours) hy...