title: 5-Aminolevulinic acid fluorescence-guided surgery for spinal meningioma.
abstract: OBJECTIVE
  Fluorescence-guided surgery for cranial meningioma has been reported to be useful. There are no reports about spinal cases using this technique. We report on a meningioma of the cervical spine for which fluorescence-guided surgery was used.
  
  
  METHODS
  A 78-year-old female patient with a meningioma located in the cervical spine underwent surgery using fluorescence guidance. After complete removal of the meningioma and removal and coagulation of the dural attachment (equal to Simpson grade II resection), a fluorescence-positive remnant could be identified and successfully removed. The remnant was found to harbor meningioma tissue on histological examination.
  
  
  CONCLUSIONS
  Fluorescence-guided microsurgery is helpful in achieving a total resection of spinal meningiomas, and might therefore reduce the risk of recurrence.
authors.affiliation: Department of Neurosurgery, Kantonsspital Aarau, Aarau, Switzerland. Electronic address: carl.muroi@ksa.ch.
authors.forename: Carl
authors.initials: C
authors.lastname: Muroi
authors.forename: Javier
authors.initials: J
authors.lastname: Fandino
authors.forename: Daniel
authors.initials: D
authors.lastname: Coluccia
authors.forename: Sven
authors.initials: S
authors.lastname: Berkmann
authors.forename: Ali-Reza
authors.initials: AR
authors.lastname: Fathi
authors.forename: Hans
authors.initials: H
authors.lastname: Landolt
mesh_terms: D000368:Aged; D000622:Aminolevulinic Acid; D003952:Diagnostic Imaging / Q000379:methods*; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D008579:Meningioma / Q000601:surgery*; D009364:Neoplasm Recurrence, Local / Q000601:surgery; D009460:Neurologic Examination; D019635:Neurosurgical Procedures / Q000379:methods*; D017319:Photosensitizing Agents; D013125:Spinal Neoplasms / Q000601:surgery*; D025321:Surgery, Computer-Assisted / Q000379:methods*; D016896:Treatment Outcome; D014466:Ultraviolet Rays
chemical_list: D017319:Photosensitizing Agents; D000622:Aminolevulinic Acid