Epidemiological study of insular glioma – an institutional experience

Object: Insular gliomas are difficult and challenging tumors to operate and manage due to the inherent complexity and the adjacent vital structures around them. Our aim is to define the morbidity profile and the mortality associated with the maximum possible safe resection of these less common tumor...

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Main Authors: Kumar Praveen, Aggrawal Manish, Sinha Virendra Deo, Bhandari Anu
Format: Article
Language:English
Published: London Academic Publishing 2017-03-01
Series:Romanian Neurosurgery
Subjects:
Online Access:https://www.journals.lapub.co.uk/index.php/roneurosurgery/article/view/976
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author Kumar Praveen
Aggrawal Manish
Sinha Virendra Deo
Bhandari Anu
author_facet Kumar Praveen
Aggrawal Manish
Sinha Virendra Deo
Bhandari Anu
author_sort Kumar Praveen
collection DOAJ
description Object: Insular gliomas are difficult and challenging tumors to operate and manage due to the inherent complexity and the adjacent vital structures around them. Our aim is to define the morbidity profile and the mortality associated with the maximum possible safe resection of these less common tumors. Methods: The study was conducted on patients who were diagnosed as insular gliomas on MRI. All grades of patients treated by microsurgical techniques at our center from 2010 to 2016 were included in the study. Results: Median age at diagnosis was 39.52 years, Mean KPS score was 92.Male patients constituted 23 of all patients.68% patients had right sided tumors.WHO grade 2 was most common grade and constituted 64% of all cases.One patient developed expressive aphasia and five patients developed hemiparesis .There was one mortality due to unrelated causes. Conclusion: With the use of meticulous microneurosurgical technique, safe yet aggressive resection of the insular gliomas can be accomplished with comparable morbidity and mortality rates even when the modern neurosurgical tool such as intraoperative neuromonitoring and neuronavigation systems are unavailable.
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spelling doaj.art-41a19ac1fc6340519165c294740520512022-12-21T18:11:54ZengLondon Academic PublishingRomanian Neurosurgery1220-88412344-49592017-03-01311Epidemiological study of insular glioma – an institutional experienceKumar PraveenAggrawal ManishSinha Virendra DeoBhandari AnuObject: Insular gliomas are difficult and challenging tumors to operate and manage due to the inherent complexity and the adjacent vital structures around them. Our aim is to define the morbidity profile and the mortality associated with the maximum possible safe resection of these less common tumors. Methods: The study was conducted on patients who were diagnosed as insular gliomas on MRI. All grades of patients treated by microsurgical techniques at our center from 2010 to 2016 were included in the study. Results: Median age at diagnosis was 39.52 years, Mean KPS score was 92.Male patients constituted 23 of all patients.68% patients had right sided tumors.WHO grade 2 was most common grade and constituted 64% of all cases.One patient developed expressive aphasia and five patients developed hemiparesis .There was one mortality due to unrelated causes. Conclusion: With the use of meticulous microneurosurgical technique, safe yet aggressive resection of the insular gliomas can be accomplished with comparable morbidity and mortality rates even when the modern neurosurgical tool such as intraoperative neuromonitoring and neuronavigation systems are unavailable.https://www.journals.lapub.co.uk/index.php/roneurosurgery/article/view/976Insular gliomaMicroneurosurgeryIntraoperative neuronavigation
spellingShingle Kumar Praveen
Aggrawal Manish
Sinha Virendra Deo
Bhandari Anu
Epidemiological study of insular glioma – an institutional experience
Romanian Neurosurgery
Insular glioma
Microneurosurgery
Intraoperative neuronavigation
title Epidemiological study of insular glioma – an institutional experience
title_full Epidemiological study of insular glioma – an institutional experience
title_fullStr Epidemiological study of insular glioma – an institutional experience
title_full_unstemmed Epidemiological study of insular glioma – an institutional experience
title_short Epidemiological study of insular glioma – an institutional experience
title_sort epidemiological study of insular glioma an institutional experience
topic Insular glioma
Microneurosurgery
Intraoperative neuronavigation
url https://www.journals.lapub.co.uk/index.php/roneurosurgery/article/view/976
work_keys_str_mv AT kumarpraveen epidemiologicalstudyofinsulargliomaaninstitutionalexperience
AT aggrawalmanish epidemiologicalstudyofinsulargliomaaninstitutionalexperience
AT sinhavirendradeo epidemiologicalstudyofinsulargliomaaninstitutionalexperience
AT bhandarianu epidemiologicalstudyofinsulargliomaaninstitutionalexperience