Long-term clinical and seizure outcomes of insular gliomas via trans-opercular approach.

Autor: Baran O; Neurosurgery Clinic, Istanbul Training and Research Hospital, Istanbul, Turkey. Electronic address: oguzbaran@gmail.com., Akgun MY; Departments of Neurosurgery, Cerrahpasa Medical Faculty, Istanbul University, Istanbul, Turkey., Kemerdere R; Departments of Neurosurgery, Cerrahpasa Medical Faculty, Istanbul University, Istanbul, Turkey., Akcil EF; Anesthesiology and Reanimation, Cerrahpasa Medical Faculty, Istanbul University, Istanbul, Turkey., Tanriverdi T; Departments of Neurosurgery, Cerrahpasa Medical Faculty, Istanbul University, Istanbul, Turkey.
Jazyk: angličtina
Zdroj: Clinical neurology and neurosurgery [Clin Neurol Neurosurg] 2018 Oct; Vol. 173, pp. 52-57. Date of Electronic Publication: 2018 Aug 02.
DOI: 10.1016/j.clineuro.2018.08.001
Abstrakt: Objective: To report long-term clinical and seizure outcomes of patients who were operated upon insular gliomas via trans-opercular approach.
Patients and Methods: Since 2010, surgical resection of insular gliomas was performed via trans-opercular approach by our group. Clinical, surgical and follow-up results were analyzed retrospectively.
Results: 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 electrical stimulation and total removal 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.
Conclusions: 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.
(Copyright © 2018 Elsevier B.V. All rights reserved.)
Databáze: MEDLINE
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