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- Title
Microsurgical and tractographic anatomical study of insular and transsylvian transinsular approach.
- Authors
Wang F; Sun T; Li X; Xia H; Li Z; Wang, Feng; Sun, Tao; Li, XinGang; Xia, HeChun; Li, ZongZheng
- Abstract
This study is to define the operative anatomy of the insula with emphasis on the transsylvian transinsular approach. The anatomy was studied in 15 brain specimens, among five were dissected by use of fiber dissection technique; diffusion tensor imaging of 10 healthy volunteers was obtained with a 1.5-T MR system. The temporal stem consists mainly of the uncinate fasciculus, inferior occipitofrontal fasciculus, Meyer's loop of the optic radiation and anterior commissure. The transinsular approach requires an incision of the inferior limiting sulcus. In this procedure, the fibers of the temporal stem can be interrupted to various degrees. The fiber dissection technique is a very relevant and reliable method for neurosurgeons to study the details of brain anatomic features. The DTI fiber tracking technique can identify the fiber tracts of the temporal stem. Moreover, it will also help further functional study of human insula.
- Publication
Neurological Sciences, 2011, Vol 32, Issue 5, p865
- ISSN
1590-1874
- Publication type
journal article
- DOI
10.1007/s10072-011-0721-2