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.
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Turgut, M., Leal, P.R.L., Emery, E. (2018). Surgical Strategy for Insular Cavernomas. In: Turgut, M., Yurttaş , C., Tubbs, R. (eds) Island of Reil (Insula) in the Human Brain. Springer, Cham. https://doi.org/10.1007/978-3-319-75468-0_29
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DOI: https://doi.org/10.1007/978-3-319-75468-0_29
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