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The neuropsychological impact of insular cortex lesions
  1. Catherine L Jones1,2,
  2. Jamie Ward1,
  3. Hugo D Critchley2,3
  1. 1Department of Psychology, University of Sussex, Falmer, UK
  2. 2Clinical Imaging Sciences Centre, Brighton and Sussex Medical School, University of Sussex, Falmer, UK
  3. 3Sussex Partnership NHS Foundation Trust, UK
  1. Correspondence to Miss Catherine L Jones, Clinical Imaging Sciences Centre, University of Sussex, Eastern Ring Road, Falmer, Brighton BN1 9RR, UK; c.l.jones{at}


Influential models based on an increasing body of neuroimaging evidence propose that insular cortex integrates cognitive, affective, sensory and autonomic information to create a consciously perceived, ‘feeling state.’ To appraise these models and evaluate interpretations of neuroimaging findings, the authors review evidence pertaining to the psychological and behavioural consequences of insula lesions. The authors focus on the emotional, perceptual, sensorimotor symptoms and disorders of body awareness associated with insula damage. This comprehensive review is intended to inform existing neuropsychological models of insula function in order to guide future research.

  • Cognitive neuropsychology
  • limbic system
  • stroke
  • tumours

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  • Funding CLJ is supported by the Medical Research Council and the Brighton and Sussex Medical School. HDC is supported by a programme grant from the Wellcome Trust.

  • Competing interests None.

  • Provenance and peer review Not commissioned; externally peer reviewed.