08:00 h.
Insula glioma surgery: the transopercular approach
Professor Hugues Duffau
08:30 h.
How to simulate a surgical approach to insular gliomas in the laboratory
Dr. Emmanuel Mandonnet
09:00 h.
Presentation of the insular surgical case
Dr. Juan Martino
09:15 h.
Hands-on session: transopercular approach to the insula. Professor Hugues Duffau will perform a step by step transopercular approach to the insula in the specimen. Simultaneously, each participant will perform the approach in the specimens.
The participants will use a real magnetic resonance image (MRI) of a frontotemporo- insular glioma to guide the resection. We will have a unique opportunity to ask Professor Duffau many questions about the challenges of this approach: how to preserve the deep functional connections (inferior fronto-occipital fasciculus, uncinate fasciculus, pyramidal pathway, etc.), and vascular structures (lenticulostriate arteries)
Professor Hugues Duffau, Dr. Emmanuel Mandonnet, Dr. Juan Martino, Dr. Alejandro Fernández-Coello, Dr. Pablo González-López, Dr. David Mato, Dr. Carlos Velasquez, Dr. Carlos Santos, Dr. Guillermo García-Catalán, Dr. Jesús Esteban, Dra. Patricia López, Monserrat Fernández-Calderón
13:00 h. / Lunch
14:00 h.
Diffusion tensor imaging tractography reconstruction of the white matter tracts.
Dr. Cristian de Quintana Schmidt
14:20 h.
Hands-on session: approach to the supplementary motor area. Professor Hugues Duffau will perform a step by step frontal approach to the supplementary motor area. Simultaneously, each participant will perform the approach in the specimens.
The participant will use a real MRI of a glioma infiltrating the supplementary motor area to guide the resection. In this approach, the deep functional connections are the superior longitudinal fasciculus, subcallosal fasciculus, frontal aslant tract, and pyramidal pathway.
Professor Hugues Duffau, Dr. Emmanuel Mandonnet, Dr. Juan Martino, Dr. Alejandro Fernández-Coello, Dr. Pablo González-López, Dr. David Mato, Dr. Carlos Velasquez, Dr. Carlos Santos, Dr. Guillermo García-Catalán, Dr. Jesús Esteban, Dra. Patricia López, Monserrat Fernández-Calderón
15:45 h.
Hands-on session: fiber dissection of the central core and the medial surface of the hemisphere. Each participant will have one hemisphere to dissect. The participants will dissect the central core (basal ganglia and internal capsule) and the tracts related to the medial surface of the hemisphere (cingulum, pyramidal pathway, and subcallosal fasciculus).
Professor Hugues Duffau, Dr. Emmanuel Mandonnet, Dr. Juan Martino, Dr. Alejandro Fernández-Coello, Dr. Pablo González-López, Dr. David Mato, Dr. Carlos Velasquez, Dr. Carlos Santos, Dr. Guillermo García-Catalán, Dr. Jesús Esteban, Dra. Patricia López, Monserrat Fernández-Calderón
16:45 h. / Closing remarks