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Erschienen in: Acta Neurochirurgica 3/2018

25.01.2018 | Technical Note - Peripheral Nerves

Intraoperative intravenous fluorescein as an adjunct during surgery for peroneal intraneural ganglion cysts

verfasst von: Jonathan J. Stone, Christopher S. Graffeo, Godard C.W. de Ruiter, Michael G. Rock, Robert J. Spinner

Erschienen in: Acta Neurochirurgica | Ausgabe 3/2018

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Abstract

The intraoperative use of intravenous fluorescein is presented in a case of peroneal intraneural ganglion cyst. When illuminated with the operative microscope and yellow filter, this fluorophore provided excellent visualization of the abnormal cystic peroneal nerve and its articular branch connection. The articular (synovial) theory for the pathogenesis of intraneural cysts is further supported by this pattern of fluorescence. Further, our report presents a novel use of fluorescein in peripheral nerve surgery.
Literatur
1.
Zurück zum Zitat Abram SE, Yi J, Fuchs A, Hogan QH (2006) Permeability of injured and intact peripheral nerves and dorsal root ganglia. Anesthesiology 105(1):146–153CrossRefPubMed Abram SE, Yi J, Fuchs A, Hogan QH (2006) Permeability of injured and intact peripheral nerves and dorsal root ganglia. Anesthesiology 105(1):146–153CrossRefPubMed
2.
Zurück zum Zitat Acerbi F, Broggi M, Eoli M et al (2014) Is fluorescein-guided technique able to help in resection of high-grade gliomas? Neurosurg Focus 36(2):E5CrossRefPubMed Acerbi F, Broggi M, Eoli M et al (2014) Is fluorescein-guided technique able to help in resection of high-grade gliomas? Neurosurg Focus 36(2):E5CrossRefPubMed
4.
Zurück zum Zitat Brooks DM (1952) Nerve compression by simple ganglia. J Bone Joint Surg Br Vol 34–B(3):391 LP–391400 Brooks DM (1952) Nerve compression by simple ganglia. J Bone Joint Surg Br Vol 34–B(3):391 LP–391400
5.
Zurück zum Zitat Dashti R, Laakso A, Niemelä M, Porras M, Celik Ö, Navratil O, Romani R, Hernesniemi J (2010) Application of microscope integrated indocyanine green video-angiography during microneurosurgical treatment of intracranial aneurysms: a review. Acta Neurochir Suppl 107:107–109CrossRefPubMed Dashti R, Laakso A, Niemelä M, Porras M, Celik Ö, Navratil O, Romani R, Hernesniemi J (2010) Application of microscope integrated indocyanine green video-angiography during microneurosurgical treatment of intracranial aneurysms: a review. Acta Neurochir Suppl 107:107–109CrossRefPubMed
6.
Zurück zum Zitat Diaz RJ, Dios RR, Hattab EM, Burrell K, Rakopoulos P, Sabha N, Hawkins C, Zadeh G, Rutka JT, Cohen-Gadol AA (2015) Study of the biodistribution of fluorescein in glioma-infiltrated mouse brain and histopathological correlation of intraoperative findings in high-grade gliomas resected under fluorescein fluorescence guidance. J Neurosurg 122(6):1360–1369CrossRefPubMed Diaz RJ, Dios RR, Hattab EM, Burrell K, Rakopoulos P, Sabha N, Hawkins C, Zadeh G, Rutka JT, Cohen-Gadol AA (2015) Study of the biodistribution of fluorescein in glioma-infiltrated mouse brain and histopathological correlation of intraoperative findings in high-grade gliomas resected under fluorescein fluorescence guidance. J Neurosurg 122(6):1360–1369CrossRefPubMed
7.
Zurück zum Zitat Haubner F, Gassner HG, Brawanski A, Schebesch K-M (2017) Fluorescein sodium-guided surgery of parotid gland tumors as a technical advance. BMC Ear Nose Throat Disord 17:6CrossRefPubMedPubMedCentral Haubner F, Gassner HG, Brawanski A, Schebesch K-M (2017) Fluorescein sodium-guided surgery of parotid gland tumors as a technical advance. BMC Ear Nose Throat Disord 17:6CrossRefPubMedPubMedCentral
8.
Zurück zum Zitat Kim K, Isu T, Chiba Y, Morimoto D, Ohtsubo S, Kusano M, Kobayashi S, Morita A (2013) The usefulness of ICG video angiography in the surgical treatment of superior cluneal nerve entrapment neuropathy. J Neurosurg Spine 19(5):624–628CrossRefPubMed Kim K, Isu T, Chiba Y, Morimoto D, Ohtsubo S, Kusano M, Kobayashi S, Morita A (2013) The usefulness of ICG video angiography in the surgical treatment of superior cluneal nerve entrapment neuropathy. J Neurosurg Spine 19(5):624–628CrossRefPubMed
9.
Zurück zum Zitat Koc K, Anik I, Cabuk B, Ceylan S (2008) Fluorescein sodium-guided surgery in glioblastoma multiforme: a prospective evaluation. Br J Neurosurg 22(1):99–103CrossRefPubMed Koc K, Anik I, Cabuk B, Ceylan S (2008) Fluorescein sodium-guided surgery in glioblastoma multiforme: a prospective evaluation. Br J Neurosurg 22(1):99–103CrossRefPubMed
10.
Zurück zum Zitat Latker CH, Wadhwani KC, Balbo A, Rapoport SI (1991) Blood-nerve barrier in the frog during wallerian degeneration: are axons necessary for maintenance of barrier function? J Comp Neurol 308(4):650–664CrossRefPubMed Latker CH, Wadhwani KC, Balbo A, Rapoport SI (1991) Blood-nerve barrier in the frog during wallerian degeneration: are axons necessary for maintenance of barrier function? J Comp Neurol 308(4):650–664CrossRefPubMed
11.
Zurück zum Zitat Lipinski LJ, Rock MG, Spinner RJ (2015) Peroneal intraneural ganglion cysts at the fibular neck: the layered ???U??? Surgical approach to the articular branch and superior tibiofibular joint. Acta Neurochir 157(5):837–840CrossRefPubMed Lipinski LJ, Rock MG, Spinner RJ (2015) Peroneal intraneural ganglion cysts at the fibular neck: the layered ???U??? Surgical approach to the articular branch and superior tibiofibular joint. Acta Neurochir 157(5):837–840CrossRefPubMed
12.
Zurück zum Zitat Moore GE, Peyton WT, French LA, Walker WW (1948) The clinical use of fluorescein in neurosurgery. J Neurosurg 5(4):392–398CrossRefPubMed Moore GE, Peyton WT, French LA, Walker WW (1948) The clinical use of fluorescein in neurosurgery. J Neurosurg 5(4):392–398CrossRefPubMed
13.
Zurück zum Zitat Pedro M, König R, Antoniadis G (2017) Fluorescein-guided surgery in peripheral benign nerve tumors (schwannomas). 6th Vienna Symp. Surg. Peripher. Nerves Present State Peripher. Nerve Surg. New Ideas to Improv. Results. Vienna, p 29 Pedro M, König R, Antoniadis G (2017) Fluorescein-guided surgery in peripheral benign nerve tumors (schwannomas). 6th Vienna Symp. Surg. Peripher. Nerves Present State Peripher. Nerve Surg. New Ideas to Improv. Results. Vienna, p 29
14.
Zurück zum Zitat Rey-Dios R, Cohen-Gadol AA (2013) Technical principles and neurosurgical applications of fluorescein fluorescence using a microscope-integrated fluorescence module. Acta Neurochir 155(4):701–706CrossRefPubMed Rey-Dios R, Cohen-Gadol AA (2013) Technical principles and neurosurgical applications of fluorescein fluorescence using a microscope-integrated fluorescence module. Acta Neurochir 155(4):701–706CrossRefPubMed
15.
Zurück zum Zitat Sobol GL, Lipschultz TM (2015) Successful surgical treatment of an intraneural ganglion of the common peroneal nerve. Am J Orthop (Belle Mead NJ) 44(4):E123–E126 Sobol GL, Lipschultz TM (2015) Successful surgical treatment of an intraneural ganglion of the common peroneal nerve. Am J Orthop (Belle Mead NJ) 44(4):E123–E126
16.
17.
Zurück zum Zitat Spinner RJ, Amrami KK, Wolanskyj AP, Desy NM, Wang H, Benarroch EE, Skinner JA, Rock MG, Scheithauer BW (2007) Dynamic phases of peroneal and tibial intraneural ganglia formation: a new dimension added to the unifying articular theory. J Neurosurg 107(2):296–307CrossRefPubMed Spinner RJ, Amrami KK, Wolanskyj AP, Desy NM, Wang H, Benarroch EE, Skinner JA, Rock MG, Scheithauer BW (2007) Dynamic phases of peroneal and tibial intraneural ganglia formation: a new dimension added to the unifying articular theory. J Neurosurg 107(2):296–307CrossRefPubMed
18.
Zurück zum Zitat Spinner RJ, Atkinson JLD, Tiel RL (2003) Peroneal intraneural ganglia: the importance of the articular branch. A unifying theory. J Neurosurg 99:330–343CrossRefPubMed Spinner RJ, Atkinson JLD, Tiel RL (2003) Peroneal intraneural ganglia: the importance of the articular branch. A unifying theory. J Neurosurg 99:330–343CrossRefPubMed
19.
Zurück zum Zitat Spinner RJ, Hébert-Blouin MN, Skinner JA, Amrami KK (2010) Knee MR arthrographic proof of an articular origin for combined intraneural and adventitial cysts. Acta Neurochir 152(5):919–923CrossRefPubMed Spinner RJ, Hébert-Blouin MN, Skinner JA, Amrami KK (2010) Knee MR arthrographic proof of an articular origin for combined intraneural and adventitial cysts. Acta Neurochir 152(5):919–923CrossRefPubMed
21.
Zurück zum Zitat Visser LH (2006) High-resolution sonography of the common peroneal nerve: detection of intraneural ganglia. Neurology 67(8):1473–1475CrossRefPubMed Visser LH (2006) High-resolution sonography of the common peroneal nerve: detection of intraneural ganglia. Neurology 67(8):1473–1475CrossRefPubMed
22.
Zurück zum Zitat Wilson TJ, Hébert-Blouin MN, Murthy NS, Amrami KK, Spinner RJ (2017) Recognition of peroneal intraneural ganglia in an historical cohort with “negative” MRIs. Acta Neurochir 159(5):925–930CrossRefPubMed Wilson TJ, Hébert-Blouin MN, Murthy NS, Amrami KK, Spinner RJ (2017) Recognition of peroneal intraneural ganglia in an historical cohort with “negative” MRIs. Acta Neurochir 159(5):925–930CrossRefPubMed
23.
Zurück zum Zitat Wilson TJ, Rock MG, Spinner RJ (2018) Technique for primary and redo surgery for peroneal intraneural ganglion cysts. Oper Neurosurg (Hagerstown) 14(2):208 Wilson TJ, Rock MG, Spinner RJ (2018) Technique for primary and redo surgery for peroneal intraneural ganglion cysts. Oper Neurosurg (Hagerstown) 14(2):208
24.
Zurück zum Zitat Yannuzzi LA, Rohrer KT, Tindel LJ, Sobel RS, Costanza MA, Shields W, Zang E (1986) Fluorescein angiography complication survey. Ophthalmology 93(5):611–617CrossRefPubMed Yannuzzi LA, Rohrer KT, Tindel LJ, Sobel RS, Costanza MA, Shields W, Zang E (1986) Fluorescein angiography complication survey. Ophthalmology 93(5):611–617CrossRefPubMed
25.
Zurück zum Zitat Zaidi HA, Abla AA, Nakaji P, Chowdhry SA, Albuquerque FC, Spetzler RF (2014) Indocyanine green angiography in the surgical management of cerebral arteriovenous malformations: lessons learned in 130 consecutive cases. Neurosurgery 10:246–251CrossRefPubMed Zaidi HA, Abla AA, Nakaji P, Chowdhry SA, Albuquerque FC, Spetzler RF (2014) Indocyanine green angiography in the surgical management of cerebral arteriovenous malformations: lessons learned in 130 consecutive cases. Neurosurgery 10:246–251CrossRefPubMed
26.
Zurück zum Zitat Zimmern PE, Laub D, Leach GE (1995) Fluorescein angiography of the bladder: technique and relevance to bladder cancer and interstitial cystitis patients. J Urol 154(1):62–65CrossRefPubMed Zimmern PE, Laub D, Leach GE (1995) Fluorescein angiography of the bladder: technique and relevance to bladder cancer and interstitial cystitis patients. J Urol 154(1):62–65CrossRefPubMed
Metadaten
Titel
Intraoperative intravenous fluorescein as an adjunct during surgery for peroneal intraneural ganglion cysts
verfasst von
Jonathan J. Stone
Christopher S. Graffeo
Godard C.W. de Ruiter
Michael G. Rock
Robert J. Spinner
Publikationsdatum
25.01.2018
Verlag
Springer Vienna
Erschienen in
Acta Neurochirurgica / Ausgabe 3/2018
Print ISSN: 0001-6268
Elektronische ISSN: 0942-0940
DOI
https://doi.org/10.1007/s00701-018-3477-0

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