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Fluorescein sodium-guided surgery of a brain abscess: A case report
Julius Höhne1, Alexander Brawanski1, Karl-Michael Schebesch1
1Department 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.
Case Description:
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.
Conclusion:
This technique may improve the identification and surgical removal of brain abscesses.
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