{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,22]],"date-time":"2026-06-22T15:52:43Z","timestamp":1782143563179,"version":"3.54.5"},"reference-count":59,"publisher":"MDPI AG","issue":"10","license":[{"start":{"date-parts":[[2022,10,2]],"date-time":"2022-10-02T00:00:00Z","timestamp":1664668800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Natural Science Foundation of China","award":["82272617"],"award-info":[{"award-number":["82272617"]}]},{"name":"Natural Science Foundation of China","award":["201604020153"],"award-info":[{"award-number":["201604020153"]}]},{"name":"Science and Technology Program of Guangzhou","award":["82272617"],"award-info":[{"award-number":["82272617"]}]},{"name":"Science and Technology Program of Guangzhou","award":["201604020153"],"award-info":[{"award-number":["201604020153"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Brain Sciences"],"abstract":"<jats:p>Objective: To investigate the relationship of lobar and deep brain regions with post-stroke dysphagia (PSD). Method: The databases of Medline, Embase, Web of Science, and Cochrane Library were searched from the establishment to May 2022. Studies that investigated the effects of lesions in lobar and deep brain regions on swallowing function after stroke were screened. The primary outcomes were PSD-related brain regions (including aspiration-related and oral transit time-related brain regions). The secondary outcomes were the incidence rate of PSD. The brain regions with the most overlap in the included studies were considered to be most relevant to PSD, and were presented as percentages. Data were compared utilizing the t-tests for continuous variables and \u03c72 for frequency-based variables. Result: A total of 24 studies and 2306 patients were included. The PSD-related lobar and deep brain regions included the insular cortex, frontal lobe, temporal gyrus, basal ganglia, postcentral, precentral, precuneus, corona radiate, etc. Among these brain regions, the insular cortex was most frequently reported (taking up 54.2%) in the included studies. Furthermore, the total incidence rate of PSD was around 40.4%, and the incidence of male was nearly 2.57 times as much as that of female (\u03c72 = 196.17, p &lt; 0.001). Conclusions: In lobar and deep brain regions, the insular cortex may be most relevant to PSD and aspiration, which may be a potentially promising target in the treatment of PSD.<\/jats:p>","DOI":"10.3390\/brainsci12101334","type":"journal-article","created":{"date-parts":[[2022,10,8]],"date-time":"2022-10-08T00:07:43Z","timestamp":1665187663000},"page":"1334","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Effects of Insular Cortex on Post-Stroke Dysphagia: A Systematic Review and Meta Analysis"],"prefix":"10.3390","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6265-4806","authenticated-orcid":false,"given":"Jia","family":"Qiao","sequence":"first","affiliation":[{"name":"Department of Rehabilitation Medicine, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou 510630, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhimin","family":"Wu","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou 510630, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xue","family":"Cheng","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Medicine, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou 510080, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qiuping","family":"Ye","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Medicine, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou 510630, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meng","family":"Dai","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Medicine, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou 510630, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yong","family":"Dai","sequence":"additional","affiliation":[{"name":"Clinical Medical College of Acupuncture, Guangzhou University of Chinese Medicine, Guangzhou 510006, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zulin","family":"Dou","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Medicine, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou 510630, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2022,10,2]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"6","DOI":"10.1212\/WNL.0000000000012781","article-title":"Global Epidemiology of Stroke and Access to Acute Ischemic Stroke Interventions","volume":"97","author":"Saini","year":"2021","journal-title":"Neurology"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"26","DOI":"10.1007\/s00455-009-9225-0","article-title":"Perceptions of psychological issues related to dysphagia differ in acute and chronic patients","volume":"25","author":"Martino","year":"2010","journal-title":"Dysphagia"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"139","DOI":"10.1007\/s00455-001-0113-5","article-title":"Social and psychological burden of dysphagia: It\u2019s impact on diagnosis and treatment","volume":"17","author":"Ekberg","year":"2002","journal-title":"Dysphagia"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"2","DOI":"10.1093\/ageing\/afp214","article-title":"Of proverbs and prevention: Aspiration and its consequences in older patients","volume":"39","author":"Connolly","year":"2010","journal-title":"Age Ageing"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"399","DOI":"10.1177\/1747493016639057","article-title":"Post-stroke dysphagia: A review and design considerations for future trials","volume":"4","author":"Cohen","year":"2016","journal-title":"Int. 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