CC BY-NC-ND 4.0 · Arquivos Brasileiros de Neurocirurgia: Brazilian Neurosurgery 2019; 38(02): 117-123
DOI: 10.1055/s-0039-1685153
Review Article | Artigo de Revisão
Thieme Revinter Publicações Ltda Rio de Janeiro, Brazil

Unveiling the Insular Lobe of Reil: Neurophysiological and Anatomical Features

Desvendando a ínsula de Reil: aspectos anatômicos e neurofisiológicos
1   Department of Neuroscience, Universidade Anhembi Morumbi, São Paulo, SP, Brazil
,
Ana Maria Nascimento
1   Department of Neuroscience, Universidade Anhembi Morumbi, São Paulo, SP, Brazil
,
Vanessa Gonçalves Pires
1   Department of Neuroscience, Universidade Anhembi Morumbi, São Paulo, SP, Brazil
› Author Affiliations
Further Information

Publication History

30 May 2018

19 February 2019

Publication Date:
05 April 2019 (online)

Abstract

The insular lobe has long been investigated, from its anatomical descriptions to its neurophysiological activity. Located in a central location, the insular lobe participates in several afferent and efferent pathways, forming part of the eloquent and fundamental structures that make up the central core of the brain. The lobe of the insula has participation in language function, such as speech, sensory (e.g., taste), limbic, autonomic (visceral), also forming part of complex associative circuits, including part of the circuits of mirror neurons. Several functional descriptions attributed to the insular lobe have been made in patients suffering from cerebrovascular diseases, as well as in those with epilepsy. Much progress and many descriptions have also been made in patients with tumors. Despite much information already available about the insular lobe, it is likely that much will be discovered in the coming years.

Resumo

Há muito tempo já se investiga sobre o lobo da ínsula, desde suas descrições anatômicas até sua atividade neurofisiológica. Situado em localização estratégica, o lobo da ínsula participa de diversas vias aferentes e eferentes, fazendo parte das nobres e vitais estruturas que compõem o bloco central do cérebro. O lobo da ínsula possui participação nas atividades motoras voluntárias, tais como a fala, sensitivas (por exemplo, gustação), límbicas, autonômicas (viscerais), também fazendo parte de circuitos complexos associativos, incluindo parte dos circuitos dos neurônios-espelhos. Diversas descrições funcionais atribuídas ao lobo da ínsula são feitas em pacientes vítimas de acidentes vasculares encefálicos, de neoplasias, assim como em pacientes epilépticos. Apesar de muitas informações já disponíveis acerca do lobo da ínsula, muito ainda deve ser descoberto nos próximos anos.

 
  • References

  • 1 Namkung H, Kim SH, Sawa A. The insula: An underestimated brain area in clinical neuroscience psychiatry, and neurology. Trends Neurosci 2017; 40 (04) 200-207
  • 2 Stephani C, Fernandez-Baca Vaca G, Maciunas R, Koubeissi M, Lüders HO. Functional neuroanatomy of the insular lobe. Brain Struct Funct 2011; 216 (02) 137-149
  • 3 Ribas EC, Yagmurlu K, Wen HT, Rhoton Jr AL. Microsurgical anatomy of the inferior limiting insular sulcus and the temporal stem. J Neurosurg 2015; 122 (06) 1263-1273
  • 4 Isnard J, Guénot M, Sindou M, Mauguière F. Clinical manifestations of insular lobe seizures: a stereo-electroencephalographic study. Epilepsia 2004; 45 (09) 1079-1090
  • 5 Kurth F, Eickhoff SB, Schleicher A, Hoemke L, Zilles K, Amunts K. Cytoarchitecture and probabilistic maps of the human posterior insular cortex. Cereb Cortex 2010; 20 (06) 1448-1461
  • 6 Nguyen DK, Nguyen DB, Malak R. , et al. Revisiting the role of the insula in refractory partial epilepsy. Epilepsia 2009; 50 (03) 510-520
  • 7 Pollatos O, Schandry R, Auer DP, Kaufmann C. Brain structures mediating cardiovascular arousal and interoceptive awareness. Brain Res 2007; 1141: 178-187
  • 8 Ribas EC, Yağmurlu K, de Oliveira E, Ribas GC, Rhoton A. Microsurgical anatomy of the central core of the brain. J Neurosurg 2018; 129 (03) 752-769
  • 9 Türe U, Yaşargil DC, Al-Mefty O, Yaşargil MG. Topographic anatomy of the insular region. J Neurosurg 1999; 90 (04) 720-733
  • 10 Rhoton Jr AL. The lateral and third ventricles. Neurosurgery 2002; 51 (4, Suppl) S207-S271
  • 11 Rhoton Jr AL. The cerebrum. Neurosurgery 2002; 51 (4, Suppl) S1-S51
  • 12 Türe U, Yaşargil MG, Al-Mefty O, Yaşargil DC. Arteries of the insula. J Neurosurg 2000; 92 (04) 676-687
  • 13 Ribas GC, Oliveira Ed. [The insula and the central core concept]. Arq Neuropsiquiatr 2007; 65 (01) 92-100
  • 14 Choi CY, Han SR, Yee GT, Lee CH. Central core of the cerebrum. J Neurosurg 2011; 114 (02) 463-469
  • 15 Small DM. Taste representation in the human insula. Brain Struct Funct 2010; 214 (5-6): 551-561
  • 16 Tanriover N, Rhoton Jr AL, Kawashima M, Ulm AJ, Yasuda A. Microsurgical anatomy of the insula and the sylvian fissure. J Neurosurg 2004; 100 (05) 891-922
  • 17 Mazzola L, Isnard J, Peyron R, Guénot M, Mauguière F. Somatotopic organization of pain responses to direct electrical stimulation of the human insular cortex. Pain 2009; 146 (1-2): 99-104
  • 18 Eickhoff SB, Schleicher A, Zilles K, Amunts K. The human parietal operculum. I. Cytoarchitectonic mapping of subdivisions. Cereb Cortex 2006; 16 (02) 254-267
  • 19 Kahane P, Hoffmann D, Minotti L, Berthoz A. Reappraisal of the human vestibular cortex by cortical electrical stimulation study. Ann Neurol 2003; 54 (05) 615-624
  • 20 Ladabaum U, Roberts TP, McGonigle DJ. Gastric fundic distension activates fronto-limbic structures but not primary somatosensory cortex: a functional magnetic resonance imaging study. Neuroimage 2007; 34 (02) 724-732
  • 21 Riecker A, Gastl R, Kühnlein P, Kassubek J, Prosiegel M. Dysphagia due to unilateral infarction in the vascular territory of the anterior insula. Dysphagia 2009; 24 (01) 114-118
  • 22 Borsook D, Veggeberg R, Erpelding N. , et al. The insula: ‘a hub of activit’ in migraine. Neuroscientist 2016; 22 (06) 632-652
  • 23 Craig AD. How do you feel--now? The anterior insula and human awareness. Nat Rev Neurosci 2009; 10 (01) 59-70
  • 24 Fischer DB, Boes AD, Demertzi A. , et al. A human brain network derived from coma-causing brainstem lesions. Neurology 2016; 87 (23) 2427-2434
  • 25 Odriozola P, Uddin LQ, Lynch CJ, Kochalka J, Chen T, Menon V. Insula response and connectivity during social and non-social attention in children with autism. Soc Cogn Affect Neurosci 2016; 11 (03) 433-444
  • 26 Rizzolatti G, Craighero L. The mirror-neuron system. Annu Rev Neurosci 2004; 27: 169-192
  • 27 Shirtcliff EA, Vitacco MJ, Graf AR, Gostisha AJ, Merz JL, Zahn-Waxler C. Neurobiology of empathy and callousness: implications for the development of antisocial behavior. Behav Sci Law 2009; 27 (02) 137-171
  • 28 Singer T. The neuronal basis and ontogeny of empathy and mind reading: review of literature and implications for future research. Neurosci Biobehav Rev 2006; 30 (06) 855-863
  • 29 Singer T, Seymour B, O'Doherty J, Kaube H, Dolan RJ, Frith CD. Empathy for pain involves the affective but not sensory components of pain. Science 2004; 303 (5661): 1157-1162
  • 30 Treadway MT, Zald DH. Parsing anhedonia: translational models of reward-processing deficits in psychopathology. Curr Dir Psychol Sci 2013; 22 (03) 244-249
  • 31 Dayan E, Censor N, Buch ER, Sandrini M, Cohen LG. Noninvasive brain stimulation: from physiology to network dynamics and back. Nat Neurosci 2013; 16 (07) 838-844
  • 32 Lemieux F, Lanthier S, Chevrier MC. , et al. Insular ischemic stroke: clinical presentation and outcome. Cerebrovasc Dis Extra 2012; 2 (01) 80-87