Resection of a large left opercular cavernoma in a child using neuronavigation
The insular lobe is a complex structure constituting anatomic, cytoarchitectonic, and functional interface between the allocortex and the neocortex. This area is a part of a larger system that includes the orbitofrontal, temporopolar, and insular regions, constituting the paralimbic system or mesoco...
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Brazilian Society for Pediatric Neurosurgery
2021
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oai:doaj.org-article:409b0f6bfde84c09848eb7e6fb6732372021-11-23T21:46:36ZResection of a large left opercular cavernoma in a child using neuronavigation2675-362610.46900/apn.v3i2(May-August).83https://doaj.org/article/409b0f6bfde84c09848eb7e6fb6732372021-05-01T00:00:00Zhttps://www.archpedneurosurg.com.br/pkp/index.php/sbnped2019/article/view/83https://doaj.org/toc/2675-3626The insular lobe is a complex structure constituting anatomic, cytoarchitectonic, and functional interface between the allocortex and the neocortex. This area is a part of a larger system that includes the orbitofrontal, temporopolar, and insular regions, constituting the paralimbic system or mesocortex. For a long time, the issue in studying this entity accounted for the poor understanding of its precise functionality. Because of the technical complexity in approaching and dissecting this region, very few neurosurgeons attempted surgery of the insula. Particularly on the dominant side, the natural history of these lesions must be carefully balanced with the surgical morbidity involved in their resection. Surgical treatment of cavernomas arising around the insula (especially in dominant cerebral hemisphere) is challenging in reason of the proximity to the internal capsule and lenticulostriate arteries. The advent of image guidance systems and intraoperative mapping of the subcortical language pathways has broadened the surgical indications for these lesions. In the case reported here we removed a cavernous angioma of the left dominant operculum in a child with the aid of a neuronavigation system guidance.Ricardo Santos de OliveiraVinícius Marques CarneiroKaliny Batista de OliveiraÉrica Sany Brito Oliveira CostaMatheus Fernando Manzolli BallesteroBrazilian Society for Pediatric NeurosurgeryarticlecavernomaneuronavegationinsulaPediatricsRJ1-570SurgeryRD1-811ENArchives of Pediatric Neurosurgery, Vol 3, Iss 2(May-August), Pp e832020-e832020 (2021) |
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cavernoma neuronavegation insula Pediatrics RJ1-570 Surgery RD1-811 |
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cavernoma neuronavegation insula Pediatrics RJ1-570 Surgery RD1-811 Ricardo Santos de Oliveira Vinícius Marques Carneiro Kaliny Batista de Oliveira Érica Sany Brito Oliveira Costa Matheus Fernando Manzolli Ballestero Resection of a large left opercular cavernoma in a child using neuronavigation |
description |
The insular lobe is a complex structure constituting anatomic, cytoarchitectonic, and functional interface between the allocortex and the neocortex. This area is a part of a larger system that includes the orbitofrontal, temporopolar, and insular regions, constituting the paralimbic system or mesocortex. For a long time, the issue in studying this entity accounted for the poor understanding of its precise functionality. Because of the technical complexity in approaching and dissecting this region, very few neurosurgeons attempted surgery of the insula. Particularly on the dominant side, the natural history of these lesions must be carefully balanced with the surgical morbidity involved in their resection. Surgical treatment of cavernomas arising around the insula (especially in dominant cerebral hemisphere) is challenging in reason of the proximity to the internal capsule and lenticulostriate arteries. The advent of image guidance systems and intraoperative mapping of the subcortical language pathways has broadened the surgical indications for these lesions. In the case reported here we removed a cavernous angioma of the left dominant operculum in a child with the aid of a neuronavigation system guidance. |
format |
article |
author |
Ricardo Santos de Oliveira Vinícius Marques Carneiro Kaliny Batista de Oliveira Érica Sany Brito Oliveira Costa Matheus Fernando Manzolli Ballestero |
author_facet |
Ricardo Santos de Oliveira Vinícius Marques Carneiro Kaliny Batista de Oliveira Érica Sany Brito Oliveira Costa Matheus Fernando Manzolli Ballestero |
author_sort |
Ricardo Santos de Oliveira |
title |
Resection of a large left opercular cavernoma in a child using neuronavigation |
title_short |
Resection of a large left opercular cavernoma in a child using neuronavigation |
title_full |
Resection of a large left opercular cavernoma in a child using neuronavigation |
title_fullStr |
Resection of a large left opercular cavernoma in a child using neuronavigation |
title_full_unstemmed |
Resection of a large left opercular cavernoma in a child using neuronavigation |
title_sort |
resection of a large left opercular cavernoma in a child using neuronavigation |
publisher |
Brazilian Society for Pediatric Neurosurgery |
publishDate |
2021 |
url |
https://doaj.org/article/409b0f6bfde84c09848eb7e6fb673237 |
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