5-Aminolevulinic acid fluorescence-guided surgery for spinal meningioma.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 23247024.
- Also identified by DOI 10.1016/j.wneu.2012.12.017.
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Abstract
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. 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. Fluorescence-guided microsurgery is helpful in achieving a total resection of spinal meningiomas, and might therefore reduce the risk of recurrence.
Medical subject headings
- Aminolevulinic Acid
- Diagnostic Imaging
- Meningioma
- Neurosurgical Procedures
- Photosensitizing Agents
- Spinal Neoplasms
- Surgery, Computer-Assisted