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Dysphagia Due to Unilateral Infarction in the Vascular Territory of the Anterior Insula

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Abstract

We describe a patient who suddenly developed dysphagia for liquids as the sole manifestation of stroke. Magnetic resonance imaging (MRI) revealed a right-sided infarction of the superior part of the anterior insula and a small portion of the adjacent medial frontal operculum. These findings confirm the role of the anterior insula as a critical area in humans with regard to the origin of dysphagia.

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Acknowledgments

The authors thank Margit Friedrich, Beate Lindner-Pfleghar, and Falk Schradt for technical assistance during FEES and treatment of the patient and Dr. Shaheen Hamdy for his helpful comments.

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Authors and Affiliations

  1. Department of Neurology, University of Ulm, Oberer Eselsberg 45, Ulm, 89081, Germany

    Axel Riecker, Regina Gastl, Peter Kühnlein & Jan Kassubek

  2. Dysphagia Centre, Rehabilitation Clinic Bad Heilbrunn, Wörnerweg 30, Bad Heilbrunn, 83670, Germany

    Mario Prosiegel

Authors
  1. Axel Riecker
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  2. Regina Gastl
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  3. Peter Kühnlein
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  4. Jan Kassubek
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  5. Mario Prosiegel
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Correspondence to Axel Riecker or Mario Prosiegel.

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Riecker, A., Gastl, R., Kühnlein, P. et al. Dysphagia Due to Unilateral Infarction in the Vascular Territory of the Anterior Insula. Dysphagia 24, 114–118 (2009). https://doi.org/10.1007/s00455-008-9164-1

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  • DOI: https://doi.org/10.1007/s00455-008-9164-1

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