Journal Information
Vol. 21. Issue 4.
Pages 312-315 (January 2010)
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Vol. 21. Issue 4.
Pages 312-315 (January 2010)
Resección de tumor intramedular guiada por fluorescencia con ácido aminolevulínico
Fluorescence-guided resection with 5-aminolevulinic acid of an intramedullary tumor
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L.M. Bernal-García
Corresponding author
lumi_bega@hotmail.com

Correspondencia: Servicio de Neurocirugía. Hospital Universitario Infanta Cristina. Av. de Elvas s/n. 06006 Badajoz
, J.M. Cabezudo-Artero, M. Ortega-Martínez, I. Fernández-Portales, J. Giménez-Pando, L.F. Ugarriza-Echebarrieta, J. Mata-Gómez, M. Molina-Orozco, J.F. Malca-Balcázar
Servicio de Neurocirugía. Hospital Universitario Infanta Cristina. Badajoz
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Resumen

La resección guiada por fluorescencia con ácido aminolevulínico (5-ALA) se ha demostrado útil para el tratamiento quirúrgico de los gliomas cerebrales malignos. También parece útil en el tratamiento de otros tipos de tumores, tanto cerebrales como intramedulares. Presentamos el caso de un paciente con un tumor intramedular en el que la fluorescencia con 5-ALA fue de utilidad para la localización intraoperatoria de la lesión, para la identificación de pequeños nódulos en el parénquima medular y para lograr la exéresis completa del tumor.

Palabras clave:
Ácido aminolevulínico
5-ALA
Ependimoma
Fluorescencia
Tumor intramedular
Abreviaturas:
5-ALA
RM
Summary

Fluorescence-guided resection with 5-aminolevulinic acid (5-ALA) has demonstrated its usefulness in the resection of malignant cerebral gliomas. It also seems useful for the treatment of other types of cerebral and intramedullary neoplasms. We present the case of a patient with an intramedullary tumor in who fluorescence-guided resection was useful for intraoperative localization, definition of small tumor nodules and in order to achieve a complete resection of the tumor.

Key words:
Aminolevulinic acid
5-ALA
Ependymoma
Fluorescence
Intramedullary neoplasms

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