Insular networks for emotional processing and social cognition: Comparison of two case reports with either cortical or subcortical involvement

Introduction: The processing of the emotion of disgust is attributed to the insular cortex (IC), which is also responsible for social emotions and higher-cognitive functions. We distinguish the role of the IC from its connections in regard to these functions through the assessment of emotions and so...

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Acceso en línea:https://bibliotecadigital.exactas.uba.ar/collection/paper/document/paper_00109452_v49_n5_p1420_Couto
http://hdl.handle.net/20.500.12110/paper_00109452_v49_n5_p1420_Couto
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spelling paper:paper_00109452_v49_n5_p1420_Couto2023-06-08T14:34:44Z Insular networks for emotional processing and social cognition: Comparison of two case reports with either cortical or subcortical involvement Emotion Fronto-insular-temporal network Insula Social cognition Stroke adult age anger anxiety disorder arm pain article brain cortex brain damage brain hemorrhage brain ischemia case report claustrum clinical evaluation comparative study controlled study disgust dysarthria educational status emotion empathy external capsule fear female foot pain frontal operculum functional magnetic resonance imaging hemiparesis human insula leg pain loneliness nerve cell network neuroimaging neurologic examination neuropsychology nuclear magnetic resonance imaging putamen questionnaire reaction time social behavior social cognition subcortex task performance taste disorder Cerebral Cortex Cognition Emotions Empathy Female Humans Middle Aged Neuropsychological Tests Recognition (Psychology) Social Behavior Introduction: The processing of the emotion of disgust is attributed to the insular cortex (IC), which is also responsible for social emotions and higher-cognitive functions. We distinguish the role of the IC from its connections in regard to these functions through the assessment of emotions and social cognition in a double case report. These subjects were very rare cases that included a focal IC lesion and a subcortical focal stroke affecting the connections of the IC with frontotemporal areas. Materials & methods: Both patients and a sample of 10 matched controls underwent neuropsychological and affective screening questionnaires, a battery of multimodal basic emotion recognition tests, an emotional inference disambiguation task using social contextual clues, an empathy task and a theory of mind task. Results: The insular lesion (IL) patient showed no impairments in emotion recognition and social emotions and presented with a pattern of delayed reaction times (RTs) in a subset of both groups of tasks. The subcortical lesion (SL) patient was impaired in multimodal aversive emotion recognition, including disgust, and exhibited delayed RTs and a heterogeneous pattern of impairments in subtasks of empathy and in the contextual inference of emotions. Conclusions: Our results suggest that IC related networks, and not the IC itself, are related to negative emotional processing and social emotions. We discuss these results with respect to theoretical approaches of insular involvement in emotional and social processing and propose that IC connectivity with frontotemporal and subcortical regions might be relevant for contextual emotional processing and social cognition. © 2012 Elsevier Ltd. 2013 https://bibliotecadigital.exactas.uba.ar/collection/paper/document/paper_00109452_v49_n5_p1420_Couto http://hdl.handle.net/20.500.12110/paper_00109452_v49_n5_p1420_Couto
institution Universidad de Buenos Aires
institution_str I-28
repository_str R-134
collection Biblioteca Digital - Facultad de Ciencias Exactas y Naturales (UBA)
topic Emotion
Fronto-insular-temporal network
Insula
Social cognition
Stroke
adult
age
anger
anxiety disorder
arm pain
article
brain cortex
brain damage
brain hemorrhage
brain ischemia
case report
claustrum
clinical evaluation
comparative study
controlled study
disgust
dysarthria
educational status
emotion
empathy
external capsule
fear
female
foot pain
frontal operculum
functional magnetic resonance imaging
hemiparesis
human
insula
leg pain
loneliness
nerve cell network
neuroimaging
neurologic examination
neuropsychology
nuclear magnetic resonance imaging
putamen
questionnaire
reaction time
social behavior
social cognition
subcortex
task performance
taste disorder
Cerebral Cortex
Cognition
Emotions
Empathy
Female
Humans
Middle Aged
Neuropsychological Tests
Recognition (Psychology)
Social Behavior
spellingShingle Emotion
Fronto-insular-temporal network
Insula
Social cognition
Stroke
adult
age
anger
anxiety disorder
arm pain
article
brain cortex
brain damage
brain hemorrhage
brain ischemia
case report
claustrum
clinical evaluation
comparative study
controlled study
disgust
dysarthria
educational status
emotion
empathy
external capsule
fear
female
foot pain
frontal operculum
functional magnetic resonance imaging
hemiparesis
human
insula
leg pain
loneliness
nerve cell network
neuroimaging
neurologic examination
neuropsychology
nuclear magnetic resonance imaging
putamen
questionnaire
reaction time
social behavior
social cognition
subcortex
task performance
taste disorder
Cerebral Cortex
Cognition
Emotions
Empathy
Female
Humans
Middle Aged
Neuropsychological Tests
Recognition (Psychology)
Social Behavior
Insular networks for emotional processing and social cognition: Comparison of two case reports with either cortical or subcortical involvement
topic_facet Emotion
Fronto-insular-temporal network
Insula
Social cognition
Stroke
adult
age
anger
anxiety disorder
arm pain
article
brain cortex
brain damage
brain hemorrhage
brain ischemia
case report
claustrum
clinical evaluation
comparative study
controlled study
disgust
dysarthria
educational status
emotion
empathy
external capsule
fear
female
foot pain
frontal operculum
functional magnetic resonance imaging
hemiparesis
human
insula
leg pain
loneliness
nerve cell network
neuroimaging
neurologic examination
neuropsychology
nuclear magnetic resonance imaging
putamen
questionnaire
reaction time
social behavior
social cognition
subcortex
task performance
taste disorder
Cerebral Cortex
Cognition
Emotions
Empathy
Female
Humans
Middle Aged
Neuropsychological Tests
Recognition (Psychology)
Social Behavior
description Introduction: The processing of the emotion of disgust is attributed to the insular cortex (IC), which is also responsible for social emotions and higher-cognitive functions. We distinguish the role of the IC from its connections in regard to these functions through the assessment of emotions and social cognition in a double case report. These subjects were very rare cases that included a focal IC lesion and a subcortical focal stroke affecting the connections of the IC with frontotemporal areas. Materials & methods: Both patients and a sample of 10 matched controls underwent neuropsychological and affective screening questionnaires, a battery of multimodal basic emotion recognition tests, an emotional inference disambiguation task using social contextual clues, an empathy task and a theory of mind task. Results: The insular lesion (IL) patient showed no impairments in emotion recognition and social emotions and presented with a pattern of delayed reaction times (RTs) in a subset of both groups of tasks. The subcortical lesion (SL) patient was impaired in multimodal aversive emotion recognition, including disgust, and exhibited delayed RTs and a heterogeneous pattern of impairments in subtasks of empathy and in the contextual inference of emotions. Conclusions: Our results suggest that IC related networks, and not the IC itself, are related to negative emotional processing and social emotions. We discuss these results with respect to theoretical approaches of insular involvement in emotional and social processing and propose that IC connectivity with frontotemporal and subcortical regions might be relevant for contextual emotional processing and social cognition. © 2012 Elsevier Ltd.
title Insular networks for emotional processing and social cognition: Comparison of two case reports with either cortical or subcortical involvement
title_short Insular networks for emotional processing and social cognition: Comparison of two case reports with either cortical or subcortical involvement
title_full Insular networks for emotional processing and social cognition: Comparison of two case reports with either cortical or subcortical involvement
title_fullStr Insular networks for emotional processing and social cognition: Comparison of two case reports with either cortical or subcortical involvement
title_full_unstemmed Insular networks for emotional processing and social cognition: Comparison of two case reports with either cortical or subcortical involvement
title_sort insular networks for emotional processing and social cognition: comparison of two case reports with either cortical or subcortical involvement
publishDate 2013
url https://bibliotecadigital.exactas.uba.ar/collection/paper/document/paper_00109452_v49_n5_p1420_Couto
http://hdl.handle.net/20.500.12110/paper_00109452_v49_n5_p1420_Couto
_version_ 1768542439166967808