Journal of Korean Neurosurgical Society

The Korean Neurosurgical Society (대한신경외과학회)
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Experience with 5-Aminolevulinic Acid in Fluorescence-Guided Resection of a Deep Sylvian Meningioma

  • Chae, Michael P. (University of Melbourne) ;
  • Song, Sang Woo (Department of Neurosurgery, Seoul National University College of Medicine, Seoul National University Hospital) ;
  • Park, Sung-Hye (Department of Pathology, Seoul National University College of Medicine, Seoul National University Hospital) ;
  • Park, Chul-Kee (Department of Neurosurgery, Seoul National University College of Medicine, Seoul National University Hospital)
  • Received : 2012.03.19
  • Accepted : 2012.12.14
  • Published : 2012.12.28
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Abstract

The 5-aminolevulinic acid (5-ALA)-induced tumor fluorescence is a useful intraoperative marker for the diagnosis and the detection of various malignancies, but its use in meningioma is only reported infrequently. In meningioma, a complete resection of the tumor mass is crucial for the prevention of recurrence and postoperative morbidities. Deep sylvian meningioma is a rare type of meningioma where complete tumor removal is complicated by its deep anatomical location and close involvement with the middle cerebral artery. From our experience, 5-ALA-mediated fluorescence facilitated a safe excision whilst preserving critical neurovascular structures. To our best knowledge, this is first report from use of 5-ALA in a deep sylvian meningioma.

Keywords

References

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