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5-ALA fluorescence in intraparenchymal endodermal cysts

  • Case Report - Neurosurgical Techniques
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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.

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Correspondence to José Pedro Lavrador.

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All authors certify that they have no affiliations with or involvement in any organization or entity with any financial interest (such as honoraria; educational grants; participation in speakers’ bureaus; membership, employment, consultancies, stock ownership, or other equity interest; and expert testimony or patent-licencing arrangements), or non-financial interest (such as personal or professional relationships, affiliations, knowledge or beliefs) in the subject matter or materials discussed in this manuscript.

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Lavrador, J.P., Brogna, C., Vergani, F. et al. 5-ALA fluorescence in intraparenchymal endodermal cysts. Acta Neurochir 159, 1511–1515 (2017). https://doi.org/10.1007/s00701-017-3213-1

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  • DOI: https://doi.org/10.1007/s00701-017-3213-1

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