Key result
Right MCA infarction with insular involvement is linked to recurrent asystolia.
This case highlights the occurrence of recurrent asystolia in a patient with a right middle cerebral artery infarct involving the insula.
Insular infarction may trigger recurrent asystole; this single case leaves open arrhythmia surveillance needs and causal mechanisms.
A 42-year-old woman who smoked had a right middle cerebral artery (MCA) stroke of undetermined origin (initial NIHSS 19). CT and perfusion-CT after 7 h (fig 1B) showed no mass effect. Between 7 and 20 h, she suffered five episodes of asystolia of 10 s duration (fig 1C ), each accompanied by brief loss of …
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Rey et al. (2009) studied this question. Right middle cerebral artery infarction with predominant insular involvement was associated with five 10-second episodes of recurrent asystolia in a 42-year-old woman.
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