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01-08-2017 | Case Report - Neurosurgical Techniques

5-ALA fluorescence in intraparenchymal endodermal cysts

Authors: José Pedro Lavrador, Christian Brogna, Francesco Vergani, Fay Greenway, Miren Aizpurua, Ranj Bhangoo

Published in: Acta Neurochirurgica | Issue 8/2017

Abstract

In recent years, new indications have been suggested for 5-ALA, particularly for cystic lesions. We report the use of 5-ALA fluorescence in an intraparenchymal supratentorial endodermal cyst of a 52-year-old female presenting with headache, progressive right side hemiparesis and anomic aphasia. She underwent an image-guided 5-ALA-assisted left minicraniotomy for fenestration of the cystic lesion into the ventricular system. The capsule of the cyst was noted to fluoresce with 5-ALA. She recovered from the previous deficits and the cyst decreased in size. To the best of our knowledge, this is the first time 5-ALA fluorescence is reported in a case of endodermal cyst.

Bao XJ, Li XY, Wang QP, Ren XY, Liang ZY, Ma WB, Wang RZ, Wei JJ (2016) Intraparenchymal endodermal cyst with spontaneous intracystic hemorrhage in the temporal lobe of an adult. Medicine (Baltimore) 95(46):e4968CrossRef

Gangemi M, Seneca V, Colella G, Cioffi V, Imperato A, Maiuri F (2011) Endoscopy versus microsurgical cyst excision and shunting for treating intracranial arachnoid cysts. J Neurosurg Pediatr 8(2):158–164CrossRefPubMed

Inoue T, Endo T, Nagamatsu K, Watanabe M, Tominaga T (2013) 5-aminolevulinic acid fluorescence-guided resection of intramedullary ependymoma: report of 9 cases. Neurosurgery 72(2 Suppl Operative):ons159–ons168 discussion ons168PubMed

Kachur E, Ang LC, Megyesi JF (2004) Intraparenchymal supratentorial neurenteric cyst. Can J Neurol Sci. 31(3):412–416CrossRefPubMed

Lach B, Russell N, Atack D, Benoit B (1989) Intraparenchymal epithelial (enterogenous) cyst of the medulla oblongata. Can J Neurol Sci 16(2):206–210CrossRefPubMed

Masubuchi T, Kajimoto Y, Kawabata S, Nonoguchi N, Fujishiro T, Miyatake S, Kuroiwa T (2013) Experimental study to understand nonspecific protoporphyrin IX fluorescence in brain tissues near tumors after 5-aminolevulinic acid administration. Photomed Laser Surg 31(9):428–433CrossRefPubMed

Mittal S, Petrecca K, Sabbagh AJ, Rayes M, Melançon D, Guiot MC, Olivier A (2010) Supratentorial neurenteric cysts-a fascinating entity of uncertain embryopathogenesis. Clin Neurol Neurosurg 112(2):89–97CrossRefPubMed

Rangarajan V, Mahore A, Patil MK, Shendarkar AD (2016) Supratentorial endodermal cysts—report of two cases. Asian J Neurosurg 11(3):310CrossRefPubMedPubMedCentral

Stummer W, Pichlmeier U, Meinel T, Wiestler OD, Zanella F, Reulen HJ, ALA-Glioma Study Group (2006) Fluorescence-guided surgery with 5-aminolevulinic acid for resection of malignant glioma: a randomised controlled multicentre phase III trial. Lancet Oncol 7(5):392–401CrossRefPubMed

10.

Utsuki S, Oka H, Kijima C, Miyajima Y, Hagiwara H, Fujii K (2011) Utility of intraoperative fluorescent diagnosis of residual hemangioblastoma using 5-aminolevulinic acid. Neurol India 59(4):612–615CrossRefPubMed

11.

Utsuki S, Oka H, Sato K, Shimizu S, Suzuki S, Fujii K (2010) Fluorescence diagnosis of tumor cells in hemangioblastoma cysts with 5-aminolevulinic acid. J Neurosurg 112(1):130–132CrossRefPubMed

Title: 5-ALA fluorescence in intraparenchymal endodermal cysts
Authors: José Pedro Lavrador
Christian Brogna
Francesco Vergani
Fay Greenway
Miren Aizpurua
Ranj Bhangoo
Publication date: 01-08-2017
Publisher: Springer Vienna
Published in: Acta Neurochirurgica / Issue 8/2017
Print ISSN: 0001-6268
Electronic ISSN: 0942-0940
DOI: https://doi.org/10.1007/s00701-017-3213-1

At a glance: The STEP trials

Springer Medicine

5-ALA fluorescence in intraparenchymal endodermal cysts

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

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