The transsylvian approach for resection of insular gliomas: technical nuances of splitting the Sylvian fissure.
Insular gliomas represent a unique surgical challenge due to the complex anatomy and nearby vascular elements associated within the Sylvian fissure. For certain tumors, the transsylvian approach provides an effective technique for achieving maximal safe resection. The goal of this manuscript and video are to present and discuss the surgical nuances and appropriate application of splitting the Sylvian fissure. Our hope is that this video highlights the safety and efficacy of the transsylvian approach for appropriately selected insular gliomas.
Department of Neurological Surgery, University of California, San Francisco, CA, USA. Michael.safaee@ucsf.edu.
Michael M
MM
Safaee
Department of Neurological Surgery, University of California, San Francisco, CA, USA.
Dario J
DJ
Englot
Department of Neurological Surgery, University of California, San Francisco, CA, USA.
Seunggu J
SJ
Han
Department of Neurological Surgery, University of California, San Francisco, CA, USA.
Michael T
MT
Lawton
Department of Neurological Surgery, University of California, San Francisco, CA, USA.
Mitchel S
MS
Berger
D001932:Brain Neoplasms / Q000601:surgery*; D002540:Cerebral Cortex / Q000601:surgery*; D005910:Glioma / Q000601:surgery*; D006801:Humans; D019635:Neurosurgical Procedures
Glioma; Insula; Sylvian fissure; Transsylvian approach