Intraoperative awake brain mapping and multimodal image-guided resection of dominant side insular glioma.

Abstract:

:Resection of insular tumors in the dominant hemisphere poses a significant risk of postoperative motor and language deficits. The authors present a case in which intraoperative awake mapping and multi-modal imaging was used to help preserve function while resecting a dominant insular glioma. The patient, a 55-year-old man, came to the clinic after experiencing sudden onset of numbness in the right limbs for 4 months. Preoperative MRI revealed a nonenhancing lesion in the left insular lobe. Gross-total tumor resection was achieved through the transcortical approach, and the patient recovered without language or motor deficits. Informed patient consent was obtained. The video can be found here: https://youtu.be/gFky09ekmzw .

journal_name

Neurosurg Focus

journal_title

Neurosurgical focus

authors

Yu Z,Hameed NUF,Zhang N,Wu B,Zhang J,Lu J,Qiu T,Zhuang D,Chen H,Wu J

doi

10.3171/2018.10.FocusVid.18259

subject

Has Abstract

pub_date

2018-10-01 00:00:00

pages

V2

issue

VideoSuppl2

issn

1092-0684

pii

2018.10.FocusVid.18259

journal_volume

45

pub_type

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