There is abundant evidence for insular involvement in cardiovascular regulation. Both right and left insular lesions have been proposed to cause heart autonomic derangements. We report a case of right insular hemorrhage which was associated with repetitive asystole, changes in ST-segment and elevation of TnT level. To our knowledge a case of asystole in a patient with right insular hemorrhage has not yet been reported. Based on our observations and review of the literature the putative pathophysiological mechanism is discussed.
- intracerebral hemorrhage
- right insula