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Since 2010, surgical resection of insular gliomas is performed via transopercular approach by the Neurosurgery Clinic, Istanbul Training and Research Hospital, Departments of Neurosurgery, Cerrahpasa Medical Faculty, Istanbul University, Turkey.

Clinical, surgical and follow-up results were analyzed retrospectively.

The majority were low-grade (81.8%) and among them oligodendroglioma was the most common (n = 8). Half of the patients underwent awake craniotomy with cortical electrostimulation and total resection was achieved in 6 patients. Long-term follow-up showed the majority of patients (90.9 %) were completely seizure free. Only one patient showed slight paresis on one upper extremity at the long-term follow-up.

Trans-opercular approach for insular gliomas is safe and maximal resection with minimal neurological deficits is possible. Use of ultrasonic aspirator and neuronavigation make surgery safer. Surgery-related complication is very rare. Future studies should contain larger number of patient and long-term follow-up in order to provide more accurate data 1).

De Ridder et al. published in 2010 a cohort of 12 patients who underwent the so-called “burst stimulation2).

World Neurosurgery is a bimonthly peer reviewed medical journal that was established in 1973 as Surgical Neurology before obtaining its current name in 2010. It is published by Elsevier and is the official journal of the World Federation of Neurosurgical Societies.

Baran O, Akgun MY, Kemerdere R, Akcil EF, Tanriverdi T. Long-term clinical and seizure outcomes of insular gliomas via trans-opercular approach. Clin Neurol Neurosurg. 2018 Aug 2;173:52-57. doi: 10.1016/j.clineuro.2018.08.001. [Epub ahead of print] PubMed PMID: 30086428.
De Ridder D, Vanneste S, Plazier M, van der Loo E, Menovsky T. Burst spinal cord stimulation: toward paresthesia-free pain suppression. Neurosurgery. 2010 May;66(5):986-90. doi: 10.1227/01.NEU.0000368153.44883.B3. PubMed PMID: 20404705.
2010.txt · Last modified: 2018/10/19 08:18 by administrador