Inflammatory Reaction After Cranioplasty Using Bovine Pericardium as a Dural Substitute
| Autor: | Rui D’Ávila, Alicia Del Carmen Becerra Romero, Luciele Alberton, Sofia Bezerra, L. Stochero, Carlos Eduardo da Silva, Alice Becker Teixeira, Paulo Eduardo Peixoto de Freitas |
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| Rok vydání: | 2018 |
| Předmět: |
musculoskeletal diseases
medicine.medical_specialty integumentary system business.industry Dura mater medicine.medical_treatment Temporal fascia musculoskeletal system medicine.disease Cranioplasty Surgery body regions Meningioma medicine.anatomical_structure Fascia lata Edema cardiovascular system medicine Pericardium medicine.symptom business Complication |
| Zdroj: | JBNC - JORNAL BRASILEIRO DE NEUROCIRURGIA. 22:183-185 |
| ISSN: | 2446-6786 |
| DOI: | 10.22290/jbnc.v22i4.1047 |
| Popis: | Dura mater grafts are commonly applied in neurosurgery. The bovine pericardium is safe and associated with rare complications. We report a case of a patient presenting with tuberculum sellae meningioma and unusual complication after frontotemporal duroplasty using bovine pericardium. After two days of good postoperative evolution, the patient presents with neurological worsening and CT scan shows intraparenchymal hematoma on the right, with perilesional edema, requiring surgery to drain and replace the pericardium of a fascia lata graft. with good postoperative evolution. Pediculated pericranium, temporal fascia and fascia lata are the most effective and safe choice to replace the dura mater. Among heterologous grafts, bovine pericardium is associated with few complications. However, complications such as inflammationand infection are related to the substance glutaraldehyde, present in such graft. |
| Databáze: | OpenAIRE |
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