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

Acta Neurochir (Wien). 2018 Mar;160(3):651-654. doi: 10.1007/s00701-018-3477-0. Epub 2018 Jan 25.

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.

Keywords: Articular branch; Fluorescein; Intraneural ganglion cyst; Peripheral nerve; Peroneal nerve.

Publication types

  • Case Reports

MeSH terms

  • Fluorescein
  • Fluorescent Dyes
  • Ganglion Cysts / pathology
  • Ganglion Cysts / surgery*
  • Humans
  • Intraoperative Care
  • Knee Joint / pathology
  • Knee Joint / surgery*
  • Male
  • Microscopy, Fluorescence
  • Middle Aged
  • Neurosurgical Procedures
  • Peroneal Nerve / pathology
  • Peroneal Nerve / surgery*

Substances

  • Fluorescent Dyes
  • Fluorescein