• Neurosurg. Clin. N. Am. · Apr 2012

    Review

    Current surgical management of insular gliomas.

    • Young-Hoon Kim and Chae-Yong Kim.
    • Department of Neurosurgery, Seoul National University Bundang Hospital, 166 Gumi-ro, Bundang-gu, Seongnam-si, Gyeonggi-do 463-707, Korea.
    • Neurosurg. Clin. N. Am. 2012 Apr 1;23(2):199-206, vii.

    AbstractThe insula is a functionally and anatomically complex cortical structure that can be affected by both low-grade and high-grade gliomas. This complexity often prevents many neurosurgeons from attempting to surgically manage insular gliomas. This article reviews the anatomic and functional uniqueness of the insula and the surgical outcomes and lessons learned from previously reported surgical series. Successful management of insular gliomas, defined as maximal resection of the tumor without postoperative neurologic morbidity, can be achieved through a sophisticated understanding of the neurovascular structure of the insular region and an intraoperative functional mapping using cortico-subcortical electrical stimulation.Copyright © 2012 Elsevier Inc. All rights reserved.

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