Cardali Salvatore Massimiliano, Ricciardo Giuseppe, Garufi Giada, Raffa Giovanni, Messineo Francesco, Scalia Gianluca, Conti Alfredo, Germanò Antonino
Division of Neurosurgery, BIOMORF Department, University of Messina, Messina, Italy.
Neurosurgery Unit, Papardo Hospital, Messina, Italy.
Brain Spine. 2022 Jun 22;2:100908. doi: 10.1016/j.bas.2022.100908. eCollection 2022.
•Gross total removal has a pivotal role in surgical treatment of intradural spinal tumors.•Sodium fluorescein prevents vascular injuries also preserving pial vessels in posterior myelotomy.•Fluorescence before the durotomy helps to distinguishing tumor from healthy tissue in intradural lesions.•Intraoperative fluorescence is safe and effective, also preserving functional anatomy in tumor removal.
•全切除在硬脊膜内脊髓肿瘤的外科治疗中起着关键作用。
•荧光素钠可预防血管损伤，同时在脊髓后正中切开术中保留软膜血管。
•硬脑膜切开前的荧光有助于在硬脊膜内病变中区分肿瘤与健康组织。
•术中荧光是安全有效的，在肿瘤切除过程中还能保留功能解剖结构。
