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Neuropsychology in Insular Lesions Prior-During and After Brain Surgery

  • Barbara Tomasino
  • Dario Marin
  • Tamara Ius
  • Miran Skrap
Chapter

Abstract

The insula can be affected by both low- and high-grade gliomas. Due to its location and its functional integration role, resection of the insula tumors has traditionally been viewed as hazardous (Jones, Ward and Critchley, J Neurol Neurosurg Psychiatry 81:611–8, 2010). In particular, their tendency to spread along the intricate network of afferent and efferent connections between the insula itself and the surrounding cortical areas constitutes a major difficulty in reaching a gross total resection (Skrap, et al. Neurosurgery 70:1081–93, 2011). Neuropsychological evaluation is mandatory and should encompass, due to the multimodal nature of this areas, a wide range of tasks. Here we present our approach and experience with neuropsychological assessment during, prior, and after surgery. In particular, we describe a real-time neuropsychological testing administered during resection of insular gliomas in two exemplificative cases with lesions involving the left and the right hemisphere.

Keywords

Insula Glioma Neurosurgery Neuropsychology Lesion mapping 

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Barbara Tomasino
    • 1
  • Dario Marin
    • 1
  • Tamara Ius
    • 2
  • Miran Skrap
    • 2
  1. 1.IRCCS “E. Medea”San Vito al TagliamentoItaly
  2. 2.Unità Operativa di NeurochirurgiaAzienda Sanitaria Universitaria Integrata S. Maria della MisericordiaUdineItaly

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