Factors affecting the extent of resection and neurological outcomes following transopercular resection of insular gliomas.

ABSTRACT:

Background

Surgical resection of insular gliomas is a challenge. TO resection is considered more versatile and has lower risk of vascular damage. In this study, we aimed to understand the factors that affect resection rates, ischemic changes and neurological outcomes and studied the utility of IONM in patients who underwent TO resection for IGs.

Methods

Retrospective analysis of 66 patients with IG who underwent TO resection was performed.

Results

Radical resection was possible in 39% patients. Involvement of zone II and the absence of contrast enhancement predicted lower resection rate. Persistent deficit rate was 10.9%. Although dominant lobe tumors increased immediate deficit and fronto-orbital operculum involvement reduced prolonged deficit rate, no tumor related

SUBMITTER: Biswas C 

PROVIDER: S-EPMC11144144 | biostudies-literature | 2024 Jun

REPOSITORIES: biostudies-literature