Fluorescein sodium-guided surgery of a brain abscess: A case report. 2016

Julius Höhne, and Alexander Brawanski, and Karl-Michael Schebesch
Department of Neurosurgery, University Medical Center Regensburg, Regensburg, Germany.

BACKGROUND Up to now, the feasibility and benefit of using fluorescein sodium under a dedicated surgical microscope filter (YE560, YELLOW 560 nm filter, Carl Zeiss Meditec, Germany) has never been clinically evaluated in infectious disorders of the brain. METHODS Here, we report the case of a male patient with a brain abscess in the right parietal lobe that was removed under fluorescence-guidance (intravenous administration of fluorescein sodium 10%, 5 mg/kg bodyweight). The abscess capsule showed intensive yellow fluorescent staining, while - under white light - the cortex appeared normal. CONCLUSIONS This technique may improve the identification and surgical removal of brain abscesses.

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