Abstract
The insula can be affected by both low- and high-grade gliomas. Due to its location and its functional integration role, resection of the insula tumors has traditionally been viewed as hazardous (Jones, Ward and Critchley, J Neurol Neurosurg Psychiatry 81:611–8, 2010). In particular, their tendency to spread along the intricate network of afferent and efferent connections between the insula itself and the surrounding cortical areas constitutes a major difficulty in reaching a gross total resection (Skrap, et al. Neurosurgery 70:1081–93, 2011). Neuropsychological evaluation is mandatory and should encompass, due to the multimodal nature of this areas, a wide range of tasks. Here we present our approach and experience with neuropsychological assessment during, prior, and after surgery. In particular, we describe a real-time neuropsychological testing administered during resection of insular gliomas in two exemplificative cases with lesions involving the left and the right hemisphere.
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Suggested Reading
Jones CL, Ward J, Critchley HD. The neuropsychological impact of insular cortex lesions. J Neurol Neurosurg Psychiatry. 2010;81:611–8.
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Tomasino, B., Marin, D., Ius, T., Skrap, M. (2018). Neuropsychology in Insular Lesions Prior-During and After Brain Surgery. In: Turgut, M., Yurttaş , C., Tubbs, R. (eds) Island of Reil (Insula) in the Human Brain. Springer, Cham. https://doi.org/10.1007/978-3-319-75468-0_31
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