Adult Pilocytic Astrocytoma in the insula: Case report and review of the literature.

ABSTRACT:

Introduction

and Importance: Adult Pilocytic Astrocytomas (APA) are infrequent low grade tumors. While supratentorial APA is considered rare, insular APA is extremely rare.

Case presentation

We present a case of pure insular APA along with surgical outcomes. Tractography and functional MRI were obtained pre-operatively. The patient underwent neuro-navigation guided microsurgical resection with sub-cortical white matter mapping, utilizing Intra-operative MRI guidance. The Sylvain fissure was opened to secure the M3 branches, and near total resection was achieved.

Clinical discussion

APA in the insula is a very rare presentation and is considered challenging. Its proximity to the middle cerebral and lenticulostriate arteries, motor areas, and language areas makes access

SUBMITTER: Muhsen BA 

PROVIDER: S-EPMC8080460 | biostudies-literature | 2021 May

REPOSITORIES: biostudies-literature