Türk Nöroşirürji Dergisi 2020 , Vol 30 , Num 1
The Anatomy of the Insular Region and the Surgical Approach Routes
Buruç ERKAN1,Ozan BARUT2
1Cizre Dr Selahattin Cizrelioğlu Devlet Hastanesi, Beyin ve Sinir Cerrahisi Kliniği, Şırnak, Türkiye
2Sağlık Bilimleri Üniversitesi Bakırköy Prof. Dr. Mazhar Osman Ruh Sağlığı ve Sinir Hastalıkları Eğitim ve Araştırma Hastanesi, Beyin ve Sinir Cerrahisi Kliniği, İstanbul, Türkiye
The insula has been the subject of research by neurosurgeons for many years in terms of its anatomy, functions and pathologies. Surgical interventions of the insular region have been risky particularly because of the lack of direct contact with the cerebral surface, being covered by the frontal, parietal and temporal operculums, neighboring deep structures, the relationship with the important vascular structures and the complexity of its functions. For many years, the surgery of insular region pathologies has been avoided and this has led to the development and discussion of various approaches. Recently, the approaches for regional pathologies have shifted from conservative to aggressive with the help of associated techniques such as intraoperative magnetic resonance, neuronavigation, functional brain mapping and neurophysiological studies via direct electrical stimulation. The aim of this article is to discuss the anatomy of the insular region and the surgical approaches. Anahtar Kelimeler : Insula, Sylvian fissure, Operculum, Middle cerebral artery