Department of Neurosurgery, University Magna Graecia, Catanzaro, Italy.
Acta Neurochir (Wien). 2010 Jan;152(1):19-26. doi: 10.1007/s00701-009-0450-y. Epub 2009 Jul 15.
The insular lobe is a functionally complex structure, harbouring peculiar anatomical and vascular features and specific neuronal connectivity with surrounding cerebral structures. It is situated in the depth of the Sylvian fissure and can be affected by either low-grade or high-grade gliomas. Because of its complexity, surgery of insular tumours has been traditionally regarded as hazardous. Nonetheless, currently improved diagnostic, neurophysiological and surgical tools allow the neurosurgeon to perform surgery of insular gliomas in a safer way, thus bringing forward the pioneering work performed by neurosurgeons in the past two decades.The aim of this paper is to provide the reader with an updated review of the anatomy, the clinical picture, diagnosis and surgical management of insular gliomas.
脑岛叶是一个功能复杂的结构，具有独特的解剖和血管特征，以及与周围脑结构的特定神经元连接。它位于外侧裂的深部，可受到低级别或高级别胶质瘤的影响。由于其复杂性，传统上认为脑岛肿瘤的手术具有危险性。然而，目前改进的诊断、神经生理学和手术工具使神经外科医生能够更安全地进行脑岛胶质瘤手术，从而推进了过去二十年来神经外科医生所做的开创性工作。本文的目的是为读者提供脑岛胶质瘤的解剖、临床表现、诊断和手术治疗的最新综述。
