Indocyanine Green Fluorescence Endoscopy at Endonasal Transsphenoidal Surgery for an Intracavernous Sinus Dermoid Cyst: Case Report
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- HIDE Takuichiro
- Department of Neurosurgery, Kumamoto University Graduate School of Medical Science
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- YANO Shigetoshi
- Department of Neurosurgery, Kumamoto University Graduate School of Medical Science
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- KURATSU Jun-ichi
- Department of Neurosurgery, Kumamoto University Graduate School of Medical Science
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抄録
The complete resection of intracavernous sinus dermoid cysts is very difficult due to tumor tissue adherence to important anatomical structures such as the internal carotid artery (ICA), cavernous sinus, and cranial nerves. As residual dermoid cyst tissue sometimes induces symptoms and repeat surgery may be required after cyst recurrence, minimal invasiveness is an important consideration when selecting the surgical approach to the lesion. We addressed a recurrent intracavernous sinus dermoid cyst by the endoscopic endonasal transsphenoidal approach assisted by neuronavigation and indocyanine green (ICG) endoscopy to confirm the ICA and patency of the cavernous sinus. The ICG endoscope detected the fluorescence signal from the ICA and cavernous sinus; its intensity changed with the passage of time. The ICG endoscope was very useful for real-time imaging, and its high spatial resolution facilitated the detection of the ICA and the patent cavernous sinus. We found it to be of great value for successful endonasal transsphenoidal surgery.
収録刊行物
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- Neurologia medico-chirurgica
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Neurologia medico-chirurgica 54 (12), 999-1003, 2014
一般社団法人 日本脳神経外科学会
