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| Name | TRANSOPERCULAR RESECTION OF DOMINANT INSULAR GLIOMA USING MULTIMODAL STRATEGY WITH AWAKE MAPPING. |
| Video Uploader | Video From NEUROLOGY INDIA VIDEOS |
| Upload Date | This Video Uploaded At 18-04-2022 19:21:50 |
| Video Discription | Background: The deep location, as well as relation to major vascular structures and eloquent brain areas makes insular glioma resection challenging. Transsylvian and transopercular approaches have been described for resection of these tumors. Objective: We illustrate the anatomical relations of a dominant hemisphere insular glioma and present the video demonstrating the step-wise resection of same via frontal transopercular approach. Surgical procedure: A 27-year-old lady with dominant hemisphere insular glioma underwent awake surgery through a transopercular approach, with cortical and subcortical mapping using direct electrical stimulation, for resection of the same. Result: Gross total resection of left insular glioma was achieved without any fresh postoperative deficits. Conclusion: Awake transopercular approach with intraoperative motor, language and neuropsychological monitoring helps achieve maximum safe resection of insular glioma in the dominant cerebral hemisphere. |
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