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Surgical Anatomy of Supratentorial Midline Lesions

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FIG. 8. Drawings showing that approximately 85 to 90% <strong>of</strong> insular<br />

arteries were short and supplied the insular cortex (i) and extreme<br />

capsule; 10% were medium sized and supplied, in addition,<br />

the claustrum and external capsule; and the remainder 3 to 5%<br />

were long and extended as far as the corona radiata (cr). a = amygdala;<br />

gp = globus pallidus; p = putamen. See previous figure legends<br />

for additional abbreviations.<br />

done so for the purpose <strong>of</strong> incorporating, coordinating,<br />

and combining this knowledge into the surgical planning<br />

process and the surgical procedure to remove a pathological<br />

lesion.<br />

Acknowledgments<br />

The authors thank Ching Hearnsberger, R.N., for helping prepare<br />

the manuscript and to Ron M. Tribell for his original artistic work.<br />

U. Türe, et al.<br />

References<br />

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FIG. 9. Left: Coronal T 1-weighted MR image revealing a heterogeneous lesion (AVM) in the striate region.<br />

Right: Anteroposterior projection <strong>of</strong> a right ICA angiogram demonstrating a striate AVM. Note the feeding vessels <strong>of</strong> the<br />

AVM originating from the insular arteries, which arise from the M 2 segment and the LLAs.<br />

686 J. Neurosurg. / Volume 92 / April, 2000

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