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Surgical Strategy for Insular Cavernomas

  • Mehmet Turgut
  • Paulo Roberto Lacerda Leal
  • Evelyne Emery
Chapter

Abstract

Surgical treatment of cavernomas (CAs) of the insula are challenging because of their proximity to the corticospinal pathways in the internal capsule and to the functional role of the left insula in speech. As a result of advances in image guidance systems and intraoperative stimulation mapping to locate the subcortical language pathways, the surgical indications for CAs of the insula have increased in recent years. The bulk of the review will focus on various surgical strategies for these lesions using the image guidance system for determination of the ideal trajectory for dissection of insular cortex and planning of the surgical approach. In patients with insular CA presenting with epilepsy, complete resectioning of the lesion and the surrounding hemosiderin zone is necessary to achieve a better prognosis with the use of electrocorticography.

Keywords

Cavernoma Electrocorticography Image guidance system Insula Neuronavigation Surgery Vascular malformation 

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Mehmet Turgut
    • 1
  • Paulo Roberto Lacerda Leal
    • 2
  • Evelyne Emery
    • 3
  1. 1.Department of NeurosurgeryAdnan Menderes University School of MedicineAydınTurkey
  2. 2.Department of NeurosurgeryFaculty of Medicine of Sobral, Federal University of CearáSobralBrazil
  3. 3.Department of NeurosurgeryUniversity of CaenCaenFrance

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