Abstract

e13525Background: In the field of Glioma surgery, there has been an increasing interest in the use of assistive technologies to overcome the difficulty of preserving brain function while improving surgical radicality. In most reports, tumor localization has seldom been considered a variable and the role of intraoperative adjuncts is yet to be determined for gliomas of the insula. The present study aims to evaluate the efficacy of fluorescence-guided resection, neurophysiological monitoring, neuronavigation, and tractography in the Extent of Resection (EOR), functionality scores, overall survival and progression-free survival in a retrospective cohort of insular gliomas. Methods: We reviewed all cases of insular tumors operated on at the Department of Neurosurgery, University Hospital of Tubingen – Germany, between May 2008 and November 2013. Extent of resection was determined by comparative volumetric analysis. Mann Whitney, Chi-square and Kaplan-Meier functions were used for assessment of each technology...

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