The use of the sodium fluorescein and YELLOW 560 nm filter for the resection of pediatric posterior fossa lesions

被引:4
|
作者
Ott, Christian [1 ]
Proescholdt, Martin [1 ]
Friedrich, Monika [1 ]
Hoehne, Julius [1 ]
Rosengarth, Katharina [1 ]
Schmidt, Nils-Ole [1 ]
Schebesch, Karl-Michael [1 ]
机构
[1] Univ Hosp Regensburg, Dept Neurosurg, Regensburg, Germany
关键词
Neurosurgery; Posterior Fossa; Child; Fluorescein; HIGH-GRADE GLIOMAS; GUIDED RESECTION; BRAIN; SURGERY; BLOOD;
D O I
10.1007/s00381-022-05798-9
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Purpose This study aimed to verify the feasibility, safety, and benefit of using fluorescein sodium (FL) and a YELLOW 560 nm filter in posterior fossa tumors in children. Methods All cases of pediatric posterior fossa tumors that have undergone surgery using fluorescein (2018-2022) have been included and were examined retrospectively. In those cases where resection of the tumor was planned, a blinded neuroradiologist distinguished gross total resection and subtotal resection according to the postoperative MRI findings. The surgical report and medical files were reviewed regarding the intraoperative staining grade and adverse events. The grade of fluorescent staining of the targeted lesion was assessed as described in the surgical reports. The screening was conducted for any reference to the degree of fluorescent staining: "intense, " "medium, " "slight, " and "no staining. " Results 19 cases have been included. In 14 cases, a complete resection was initially intended. In 11 of these cases, a gross total resection could be achieved (78.6%). Staining was described as intense in most cases (58.8%). Except for yellow-colored urine, no side effects obviously related to FL were found throughout the observation period. Conclusion In combination with a specific filter, FL is a reliable, safe, and feasible tool in posterior fossa surgery in children.
引用
收藏
页码:1495 / 1500
页数:6
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