| Neuropsychiatric effects of insular stroke. | |
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MedLine Citation:
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PMID: 10665464 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The neuropsychiatric effects of insular damage in humans have not previously been examined. We therefore examined the neuropsychiatric impairment in seven patients with left insular stroke, six patients with right insular stroke, six patients with left hemisphere noninsular stroke, and six patients with right hemisphere noninsular stroke. Between 4 and 8 weeks after acute stroke, patients were administered a neuropsychiatric battery. Patients with right insular lesions had a greater frequency of subjective anergia and underactivity (Fisher's exact p = .002) as well as tiredness (Fisher's exact p < .002) compared with patients with non-insular lesions or left insular lesions. Subjective feelings of impaired energy or drive after right insular damage may result from disconnection between the insula and the frontal lobe or the anterior cingulate cortex, structures that have been associated with willed action and motor behavior. |
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Authors:
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F Manes; S Paradiso; R G Robinson |
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Publication Detail:
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Type: Journal Article; Research Support, U.S. Gov't, P.H.S. |
Journal Detail:
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Title: The Journal of nervous and mental disease Volume: 187 ISSN: 0022-3018 ISO Abbreviation: J. Nerv. Ment. Dis. Publication Date: 1999 Dec |
Date Detail:
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Created Date: 2000-02-16 Completed Date: 2000-02-16 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 0375402 Medline TA: J Nerv Ment Dis Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 707-12 Citation Subset: AIM; IM |
Affiliation:
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Department of Psychiatry, The University of Iowa College of Medicine, Iowa City 52242-1057, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Aged Anxiety Disorders / diagnosis, physiopathology, psychology Cerebral Cortex / physiopathology* Cognition Disorders / diagnosis, physiopathology Depressive Disorder / diagnosis, physiopathology, psychology Female Functional Laterality / physiology* Humans Limbic System / physiopathology Male Middle Aged Motor Activity / physiology Neurologic Examination Personality Inventory / statistics & numerical data Psychiatric Status Rating Scales / statistics & numerical data* Severity of Illness Index Social Support Stroke / diagnosis*, physiopathology, psychology Volition / physiology |
| Grant Support | |
ID/Acronym/Agency:
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MH 52879/MH/NIMH NIH HHS; MH 53592/MH/NIMH NIH HHS |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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