"Volumetrick\u00E9 hodnocen\u00ED resekability gliom\u016F inzuly"@cs . "7"^^ . "Barto\u0161, Robert" . . . "Volumetrick\u00E9 hodnocen\u00ED resekability gliom\u016F inzuly"@cs . . "Volumetrick\u00E9 hodnocen\u00ED resekability gliom\u016F inzuly" . "Volumetric Evaluation of Resecability of Insular Gliomas"@en . "Sames, M." . "Volumetrick\u00E9 hodnocen\u00ED resekability gliom\u016F inzuly" . "5" . "Cee, J." . . "RIV/00159816:_____/14:00061301!RIV15-MSM-00159816" . . "Volumetric Evaluation of Resecability of Insular Gliomas"@en . "Aim: We present the results of surgical resection in a group of patients with insular gliomas, we refer to our pilot study (2009 - eight patients) and include 20 surgeries performed until 2013. Groups and methods: From 2007 to 2013 we performed 20 surgeries for gliomas with a significant invasion of the insular region; all the surgeries were conducted under general anaesthesia with motor evoked potential monitoring. The extent of resection was evaluated by means of manual computerized volumetry (software Stealth DTI, Medtronic, Minneapolis, USA). Results: In one patient after glioblastoma multiforme resection, we observed postoperative hematoma in the tumour remnant with consequent hemiplegia, the rate of major complications was 5%. The mean extent of resection in 19 surgeries was 83% (43-100%). In 15 non-enhancing tumours (LGG and AA), we obtained the mean tumour volumetric reduction of 80%. Conclusions: The same indication criteria for surgical resection apply to insular gliomas as to gliomas in other regions. Detailed knowledge of insular anatomy, including ability to handle vital vascular structures, is necessary for performing insular surgery with good results."@en . "P(ED1.100/02/0123)" . . . . "77" . "Radovnicky, T." . "54161" . "MRi; volumetry; glioma; insula"@en . "Malucelli, Alberto" . . "1210-7859" . . . . "Hej\u010Dl, Ale\u0161" . "[63D143C9AE57]" . . "Barto\u0161, Pavel" . "000343022100004" . "RIV/00159816:_____/14:00061301" . "8"^^ . "CZ - \u010Cesk\u00E1 republika" . . "4"^^ . "C\u00EDl: C\u00EDlem na\u0161\u00ED pr\u00E1ce bylo roz\u0161\u00ED\u0159it a zobecnit v\u00FDsledky resekc\u00ED inzul\u00E1rn\u00EDch gliom\u016F. Navazujeme na n\u00E1\u0161 pilotn\u00ED ji\u017E publikovan\u00FD soubor (2009 - osm pacient\u016F), jen\u017E jsme roz\u0161\u00ED\u0159ili na 20 operac\u00ED. Soubor a metodika: V obdob\u00ED 2007- 2013 jsme provedli 20 operac\u00ED gliom\u016F se signifikantn\u00EDm objemem n\u00E1doru v inzule. Operace byly prov\u00E1d\u011Bny v celkov\u00E9 anestezii p\u0159i monitorov\u00E1n\u00ED motorick\u00FDch evokovan\u00FDch potenci\u00E1l\u016F. Radikalita operac\u00ED byla hodnocena pomoc\u00ED manu\u00E1ln\u00ED po\u010D\u00EDta\u010Dov\u00E9 volumetrie prost\u0159ednictv\u00EDm software StealthDTI (Medtronic, Minneao\u00ADpolis, USA). V\u00FDsledky: U jedn\u00E9 pacientky po resekci multiformn\u00EDho glioblastomu do\u0161lo po operaci k prokrv\u00E1cen\u00ED rezidua s n\u00E1slednou hemiplegi\u00ED, m\u00EDra z\u00E1va\u017En\u00FDch komplikac\u00ED \u010Din\u00ED 5 %. B\u011Bhem 19 operac\u00ED jsme dos\u00E1hli pr\u016Fm\u011Brn\u00E9 83% radikality resekce (43- 100 %). V pr\u016Fb\u011Bhu 15 operac\u00ED neenhancuj\u00EDc\u00EDch n\u00E1dor\u016F (LGG a AA) jsme dos\u00E1hli v T2 v\u00E1\u017Een\u00ED pr\u016Fm\u011Brn\u00E9 80% redukce objemu n\u00E1doru. Z\u00E1v\u011Br: Gliomy inzul\u00E1rn\u00ED oblasti jsou indikov\u00E1ny k chirurgick\u00E9mu odstran\u011Bn\u00ED za podobn\u00FDch indika\u010Dn\u00EDch krit\u00E9ri\u00ED jako gliomy v jin\u00FDch oblastech mozku. Nezbytn\u00E1 je detailn\u00ED znalost anatomie inzul\u00E1rn\u00ED oblasti v\u010Detn\u011B schopnosti manipulace s vit\u00E1ln\u00EDmi c\u00E9vn\u00EDmi strukturami."@cs . . . . "\u010Cesk\u00E1 a slovensk\u00E1 neurologie a neurochirurgie" . . . "C\u00EDl: C\u00EDlem na\u0161\u00ED pr\u00E1ce bylo roz\u0161\u00ED\u0159it a zobecnit v\u00FDsledky resekc\u00ED inzul\u00E1rn\u00EDch gliom\u016F. Navazujeme na n\u00E1\u0161 pilotn\u00ED ji\u017E publikovan\u00FD soubor (2009 - osm pacient\u016F), jen\u017E jsme roz\u0161\u00ED\u0159ili na 20 operac\u00ED. Soubor a metodika: V obdob\u00ED 2007- 2013 jsme provedli 20 operac\u00ED gliom\u016F se signifikantn\u00EDm objemem n\u00E1doru v inzule. Operace byly prov\u00E1d\u011Bny v celkov\u00E9 anestezii p\u0159i monitorov\u00E1n\u00ED motorick\u00FDch evokovan\u00FDch potenci\u00E1l\u016F. Radikalita operac\u00ED byla hodnocena pomoc\u00ED manu\u00E1ln\u00ED po\u010D\u00EDta\u010Dov\u00E9 volumetrie prost\u0159ednictv\u00EDm software StealthDTI (Medtronic, Minneao\u00ADpolis, USA). V\u00FDsledky: U jedn\u00E9 pacientky po resekci multiformn\u00EDho glioblastomu do\u0161lo po operaci k prokrv\u00E1cen\u00ED rezidua s n\u00E1slednou hemiplegi\u00ED, m\u00EDra z\u00E1va\u017En\u00FDch komplikac\u00ED \u010Din\u00ED 5 %. B\u011Bhem 19 operac\u00ED jsme dos\u00E1hli pr\u016Fm\u011Brn\u00E9 83% radikality resekce (43- 100 %). V pr\u016Fb\u011Bhu 15 operac\u00ED neenhancuj\u00EDc\u00EDch n\u00E1dor\u016F (LGG a AA) jsme dos\u00E1hli v T2 v\u00E1\u017Een\u00ED pr\u016Fm\u011Brn\u00E9 80% redukce objemu n\u00E1doru. Z\u00E1v\u011Br: Gliomy inzul\u00E1rn\u00ED oblasti jsou indikov\u00E1ny k chirurgick\u00E9mu odstran\u011Bn\u00ED za podobn\u00FDch indika\u010Dn\u00EDch krit\u00E9ri\u00ED jako gliomy v jin\u00FDch oblastech mozku. Nezbytn\u00E1 je detailn\u00ED znalost anatomie inzul\u00E1rn\u00ED oblasti v\u010Detn\u011B schopnosti manipulace s vit\u00E1ln\u00EDmi c\u00E9vn\u00EDmi strukturami." .