Tumours of the limbic and paralimbic system.
240 patients with tumours of the limbic and paralimbic areas are presented. The following tumour growth patterns have been observed: they remain isolated to areas within the allocortex; they spread throughout allocortical regions; they spread from allocortical to mesocortical zones. With the exception of advanced malignant tumours there seems to be a tendency for tumours to spare the adjacent neocortical and medial structures. The tumours can be approached and extirpated using the trans-Sylvian approach and microneurosurgical technique. 56% have been histologically benign. 60% were below 40 years of age. Seizures were the leading manifestation (77%). In 95% the postoperative results were good. There was no peri-operative mortality.
Yaşargil
M G
MG
Department of Neurosurgery, Universitätsspital, Zürich, Switzerland.
Reeves
J D
JD
D000328:Adult; D001931:Brain Mapping; D001932:Brain Neoplasms / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008032:Limbic System / Q000473:pathology / Q000601:surgery*; D008866:Microsurgery; D009460:Neurologic Examination; D011183:Postoperative Complications / Q000209:etiology