Fluorescein sodium-guided surgery of a brain abscess: A case report

Surg Neurol Int. 2016 Dec 5;7(Suppl 39):S955-S957. doi: 10.4103/2152-7806.195234. eCollection 2016.

Abstract

Background: Up to now, the feasibility and benefit of using fluorescein sodium under a dedicated surgical microscope filter (YE560, YELLOW 560 nm filter, Carl Zeiss Meditec, Germany) has never been clinically evaluated in infectious disorders of the brain.

Case description: Here, we report the case of a male patient with a brain abscess in the right parietal lobe that was removed under fluorescence-guidance (intravenous administration of fluorescein sodium 10%, 5 mg/kg bodyweight). The abscess capsule showed intensive yellow fluorescent staining, while - under white light - the cortex appeared normal.

Conclusion: This technique may improve the identification and surgical removal of brain abscesses.

Keywords: Blood–brain barrier; YELLOW 560 nm filter; brain abscess; fluorescein sodium; fluorescence-guided surgery.

Publication types

  • Case Reports