201. The usefulness of intraoperative sodium fluorescein in the surgical treatment of relapsed high-grade brain tumors in pediatric patients.
- Author
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Alcazar, Paula, Avedillo, Amanda, Vazquez, Silvia, Lopez, Laura B., Fustero, David, Moles, Jesus, Gonzalez, Luis, and Orduna, Javier
- Subjects
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CHILD patients , *FLUORESCEIN , *SODIUM , *BRAIN tumors , *POSTOPERATIVE period , *TUMOR grading ,TUMOR surgery - Abstract
Purpose: We report the usefulness of intraoperative sodium fluorescein (SF) in the surgical treatment of relapsed high-grade brain tumors in pediatric neurosurgery. Methods: We describe our protocol for intraoperative SF and three cases of patients between 5 and 11 years diagnosed and surgically treated for relapsed high-grade brain tumors using SF. Results: The 560-nm microscope filter enables the use of low doses of this fluorochrome. A dose of 3 mg/kg of patient weight of 10% SF, administered intravenously, is safe and effective in children. The effect of SF was immediate, providing a clear margin between the tumor and healthy tissue, which enabled good tumor resection. We observed no adverse effects in the postoperative period, and the patients evolved satisfactorily. Conclusions: To the best of our knowledge, we describe for the first time the use of fluorescein in reoperations of relapsed high-grade brain tumors in childhood with promising results. Using SF in children is a safe, affordable, and effective technique that offers an excellent intraoperative image, being a feasible option to improve oncological resection. This study is one of the few that uses SF in pediatric neurosurgery, where it could be very beneficial. [ABSTRACT FROM AUTHOR]
- Published
- 2023
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