Transsylvian Insular Glioma Surgery.

Currently, there is a unanimous opinion that the first line of the treatment of insular gliomas is microsurgical removal. At the same time, surgery of insular glial tumors remains a challenge because of the complex anatomy of the insular region. Among the most crucial anatomical structures are branches of the middle cerebral artery (MCA), lenticulostriate arteries (LSAs), and corticospinal tract.

Burr hole microsurgical subtemporal selective amygdalohippocampectomy.

Introduction: At present, selective amygdalohippocampectomy (SAH) has become popular in the treatment of drug-resistant mesial temporal lobe epilepsy (TLE). However, there is still an ongoing discussion about the advantages and disadvantages of this approach.

Methods: The study included a consecutive series of 43 adult patients with drug-resistant TLE, involving 24 women and 19 men (1.

[Anterior transperiinsular approach to the head of the caudate nucleus and mediobasal frontal lobe].

Background: The head of the caudate nucleus and adjacent mediobasal frontal lobe are deeply localized and have complex anatomical and topographic relationships with surrounding functionally significant cerebral structures. These aspects determine difficult surgical treatment of pathology in this zone.

Objective: To propose a new anterior transperiinsular approach for optimizing surgical access to the head of the caudate nucleus and mediobasal frontal lobe.