Intraoperative awake brain mapping and multimodal image-guided resection of dominant side insular glioma

Zhengda Yu MD1, N. U. Farrukh Hameed MBBS, MCh1, Nan Zhang MD, PhD1, Bin Wu MD1, Jie Zhang MD, PhD1, Junfeng Lu MD, PhD1, Tianming Qiu MD, PhD1, Dongxiao Zhuang MD, PhD1, Hong Chen MD2, and Jinsong Wu MD, PhD1
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  • 1 Departments of Neurosurgery and
  • | 2 Pathology, Huashan Hospital, Fudan University, Shanghai, China
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Resection of insular tumors in the dominant hemisphere poses a significant risk of postoperative motor and language deficits. The authors present a case in which intraoperative awake mapping and multi-modal imaging was used to help preserve function while resecting a dominant insular glioma. The patient, a 55-year-old man, came to the clinic after experiencing sudden onset of numbness in the right limbs for 4 months. Preoperative MRI revealed a nonenhancing lesion in the left insular lobe. Gross-total tumor resection was achieved through the transcortical approach, and the patient recovered without language or motor deficits. Informed patient consent was obtained.

The video can be found here: https://youtu.be/gFky09ekmzw.

Resection of insular tumors in the dominant hemisphere poses a significant risk of postoperative motor and language deficits. The authors present a case in which intraoperative awake mapping and multi-modal imaging was used to help preserve function while resecting a dominant insular glioma. The patient, a 55-year-old man, came to the clinic after experiencing sudden onset of numbness in the right limbs for 4 months. Preoperative MRI revealed a nonenhancing lesion in the left insular lobe. Gross-total tumor resection was achieved through the transcortical approach, and the patient recovered without language or motor deficits. Informed patient consent was obtained.

The video can be found here: https://youtu.be/gFky09ekmzw.