Focus session on sodium fluorescein in pediatric oncological neurosurgery

Childs Nerv Syst. 2023 Jun;39(6):1449-1450. doi: 10.1007/s00381-023-05957-6. Epub 2023 May 9.

Abstract

Many tools and techniques have been developed to obtain maximal safe tumoral resection in neurosurgery. Fluorescent dyes, including sodium fluorescein, have become also part of this armamentarium to localize the lesion and its boundaries peroperatively. Considering its alleged safety profile and its ability to diffuse in areas of altered blood-brain barrier, a typical characteristic of a number of both benign and malignant pediatric tumors, sodium fluorescein may appear an ideal candidate as intraoperative adjunct in pediatric neurosurgery. Nevertheless, a definitive role of this dye in children has not been established yet, and the reports on the pediatric population remain scarce. For this reason, we propose focusing on the use of sodium fluorescein in pediatric oncological neurosurgery by collecting articles reporting the result of the application of the technique in the management of intracranial pediatric tumors.

Keywords: Pediatric neuro-oncology; Preoperative; Sodium fluorescein.

Publication types

  • Letter

MeSH terms

  • Blood-Brain Barrier
  • Brain Neoplasms* / diagnostic imaging
  • Brain Neoplasms* / surgery
  • Child
  • Fluorescein
  • Humans
  • Medical Oncology
  • Neurosurgery*
  • Neurosurgical Procedures

Substances

  • Fluorescein