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Gross Anatomy of the Human Insula

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Island of Reil (Insula) in the Human Brain

Abstract

When the lips of the lateral fissure are separated from each other, a new group of sulci and gyri appear. They are arrayed together in the form of an island, which is the reason why the German anatomist, Johann Christian Reil, named them “the insular lobe”. Bordered by the limiting sulci, its general form resembles that of an oblique pyramid with a triangular base and low height. Although some anatomical variation exists, the insula presents a systematizable internal organization and well-defined anatomical relationships with deep and superficial cerebral structures, such as the extreme capsule and the cerebral opercula. In this chapter we review concepts of the insular morphology that are important to the fields of neurosurgery and neuroimaging.

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References

  1. Reil J. Die Sylvische Grube. Arch Phys Ther. 1809;9:195–208.

    Google Scholar 

  2. Monro A (1783) Observations on the structure and functions of the nervous system. Edinburgh

    Google Scholar 

  3. Vicq d’Azyr F. Traité d’Anatomie et de physiologie. Paris; 1786.

    Google Scholar 

  4. Ture U, Yasargil DC, Al-Mefty O, Yasargil MG. Topographic anatomy of the insular region. J Neurosurg. 1999;90(4):720–33.

    Article  CAS  PubMed  Google Scholar 

  5. Ribas GC. The cerebral sulci and gyri. Neurosurg Focus. 2010;28(2):E2.

    Article  PubMed  Google Scholar 

  6. Excerpta Medica Foundation. Nomina anatomica. 4th ed. Amsterdam: Excerpta Medica; 1975.

    Google Scholar 

  7. Guenot M, Isnard J, Sindou M (2004) Surgical anatomy of the insula. Adv Tech Stand Neurosurg 29:265–288

    Google Scholar 

  8. Rhoton AL Jr. The cerebrum. Neurosurgery. 2002;51(4 Suppl):S1–51.

    Article  PubMed  Google Scholar 

  9. Ribas GC, Oliveira E. The insula and the central core concept. Arq Neuropsiquiatr. 2007;65(1):92–100. doi:S0004-282X2007000100020 [pii]

    Article  PubMed  Google Scholar 

  10. Testut L (1899) Traité d'anatomie humaine. Tome deuxième—angéiologie, système nerveux central. Octave Doin, Paris

    Google Scholar 

  11. Tanriover N, Rhoton AL Jr, Kawashima M, Ulm AJ, Yasuda A. Microsurgical anatomy of the insula and the Sylvian fissure. J Neurosurg. 2004;100(5):891–922. https://doi.org/10.3171/jns.2004.100.5.0891.

    Article  PubMed  Google Scholar 

  12. Ludwig E, Klingler J. Atlas cerebri humani. Basel: S. Karger A.G; 1956.

    Google Scholar 

  13. Fernandez-Miranda JC, Rhoton AL Jr, Alvarez-Linera J, Kakizawa Y, Choi C, de Oliveira EP. Three-dimensional microsurgical and tractographic anatomy of the white matter of the human brain. Neurosurgery. 2008;62(6 Suppl 3):SHC989–1026. discussion SHC1026-1028

    Google Scholar 

  14. Fernandez-Miranda JC, Rhoton AL Jr, Kakizawa Y, Choi C, Alvarez-Linera J. The claustrum and its projection system in the human brain: a microsurgical and tractographic anatomical study. J Neurosurg. 2008;108(4):764–74.

    Article  PubMed  Google Scholar 

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Maldonado, I.L., Zemmoura, I., Destrieux, C. (2018). Gross Anatomy of the Human Insula. In: Turgut, M., Yurttaş , C., Tubbs, R. (eds) Island of Reil (Insula) in the Human Brain. Springer, Cham. https://doi.org/10.1007/978-3-319-75468-0_2

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  • DOI: https://doi.org/10.1007/978-3-319-75468-0_2

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-75467-3

  • Online ISBN: 978-3-319-75468-0

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