5-Aminolevulinic Acid Fluorescence-Guided Surgery for Spinal Meningioma

被引：19

作者：

Muroi, Carl ^{[1
]}

Fandino, Javier ^{[1
]}

Coluccia, Daniel ^{[1
]}

Berkmann, Sven ^{[1
]}

Fathi, Ali-Reza ^{[1
]}

Landolt, Hans ^{[1
]}

机构：

[1] Kantonsspital Aarau, Dept Neurosurg, Aarau, Switzerland

来源：

WORLD NEUROSURGERY | 2013年 / 80卷 / 1-2期

关键词：

5-Aminolevulinic acid; Fluorescence-guided surgery; Spinal meningioma; PHOTODYNAMIC DIAGNOSIS; RESECTION; EPENDYMOMA; RECURRENCE; GLIOMAS;

D O I：

10.1016/j.wneu.2012.12.017

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

OBJECTIVE: Fluorescence-guided surgery for cranial meningioma has been reported to be useful. There are no reports about spinal cases using this technique. We report on a meningioma of the cervical spine for which fluorescence-guided surgery was used. CASE DESCRIPTION: A 78-year-old female patient with a meningioma located in the cervical spine underwent surgery using fluorescence guidance. After complete removal of the meningioma and removal and coagulation of the dural attachment (equal to Simpson grade II resection), a fluorescence-positive remnant could be identified and successfully removed. The remnant was found to harbor meningioma tissue on histological examination. CONCLUSIONS: Fluorescence-guided microsurgery is helpful in achieving a total resection of spinal meningiomas, and might therefore reduce the risk of recurrence.

引用

页码：223.e1 / 223.e3

页数：3

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