Insular Role in Blood Pressure and Systemic Vascular Resistance Regulation

Sánchez-Larsen, Álvaro; Príncipe, Alessandro; Ley, Miguel; Vaquerizo, Beatriz; Langohr, Klaus; Rocamora, R.

doi:10.1016/j.neurom.2022.12.012

Cited by 3 publications

(2 citation statements)

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“…28,29 It is a vital component of the autonomic nervous system and, when damaged or stimulated, can elicit diverse autonomic symptoms, such as alterations in heart rate and blood pressure. 30,31 With extensive cortical and subcortical connections, the insular cortex acts as a central hub for trigeminovascular nociceptive afferents, alongside other somatosensory and viscerosensory signals. 28 Changes in insular cortex function might explain the autonomic symptoms experienced during certain headache syndromes like migraine and cluster headaches.…”

Section: Discussionmentioning

confidence: 99%

“…Additionally, the insular cortex appears to serve as a crucial structure bridging the autonomic nervous system with headaches and epilepsies 28,29 . It is a vital component of the autonomic nervous system and, when damaged or stimulated, can elicit diverse autonomic symptoms, such as alterations in heart rate and blood pressure 30,31 . With extensive cortical and subcortical connections, the insular cortex acts as a central hub for trigeminovascular nociceptive afferents, alongside other somatosensory and viscerosensory signals 28 .…”

Section: Discussionmentioning

confidence: 99%

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A rare case of lupus cerebritis presenting as ictal epileptic headache: A case report

Zandieh,

Seeger,

Tunnell

et al. 2024

Headache

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Ictal epileptic headache, characterized by headache as the sole symptom of a seizure attack, is a rare condition. In this case report, we present a 52‐year‐old female with a history of systemic lupus erythematosus who sought medical attention at the headache clinic due to a new type of headache. The headache was described as an intense painful wave followed by a dull headache, without autonomic symptoms or migrainous features. Magnetic resonance imaging revealed an enhancing lesion in the left hippocampus in addition to two other lesions in the corpus callosum and left parieto‐occipital lobe. Electroencephalography during the headache episodes showed epileptic discharges originating from the left fronto‐temporal region. The patient was initiated on levetiracetam, which resulted in the resolution of both the epileptic discharges and the headaches. This case underscores the significance of considering ictal epileptic headache as a potential secondary cause for headaches, particularly in patients with underlying conditions that may predispose them to epilepsy, such as systemic lupus erythematosus.

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