Clinical considerations on a right operculo-insular cavernous angioma: an illustrative case

• Published in: Acta neurochirurgica Vol. 163; no. 10; pp. 2755 - 2759
• Main Authors: Marcati, Eleonora, Ferrari, Erika, Fava, Enrica, Talamonti, Giuseppe, D’Aliberti, Giuseppe A.
• Format: Journal Article
• Language: English
• Published: Vienna Springer Vienna 01.10.2021; Springer Nature B.V
• Subjects: Animals; Brain research; Case Report - Vascular Neurosurgery - Other; Cerebral Cortex - diagnostic imaging; Cerebral Cortex - surgery; Cortex (insular); Dysarthria; Electrodes; Hemangioma, Cavernous - diagnostic imaging; Hemangioma, Cavernous - surgery; Hematoma; Interventional Radiology; Magnetic resonance imaging; Medicine; Medicine & Public Health; Minimally Invasive Surgery; Neurology; Neuroradiology; Neurosurgery; Pain; Patients; Radiography; Somatosensory cortex; Speech; Surgical Orthopedics; Tongue; Topography; Vascular Neurosurgery – Other; Somatosensory; Gustatory; Insular cortex; Cavernous angioma
• ISSN: 0001-6268; 0942-0940
• DOI: 10.1007/s00701-021-04947-4

The insular cortex is considered one of the most complex regions of the brain, defined as the “hub” of somatosensory areas. Here, we examine the case of a surgically treated haemorrhagic cavernoma involving the middle and posterior insular cortex, presenting both sensory, gustative and speech symptoms. By reviewing the recent findings in humans’ and primates’ basic research, we illustrated clinical and radiological correlations of the reported case, confirming insular role in sensitive and gustatory functions.