Misery of neurosurgeon: Gauzoma causing foreign body granuloma-role of radiologist
| Autor: | Jeyaseelan Nadarajah, Shivanand Gamanagatti, Ravi Kumar, Atin Kumar |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
foreign body granuloma medicine.medical_treatment Infarction Case Report Decompressive craniectomy 030218 nuclear medicine & medical imaging Muslinomas Lesion 03 medical and health sciences 0302 clinical medicine Hematoma medicine gauzoma Abscess textilomas medicine.diagnostic_test business.industry Magnetic resonance imaging General Medicine medicine.disease Surgery Neurosurgery Radiology medicine.symptom business 030217 neurology & neurosurgery Foreign body granuloma |
| Zdroj: | Asian Journal of Neurosurgery |
| ISSN: | 2248-9614 1793-5482 |
| Popis: | Materials used in neurosurgery to achieve hemostasis may be of resorbable or nonresorbable substance and may cause foreign body granuloma if left at the operative site. Foreign body granuloma depending on clinical history may be indistinguishable from an abscess, resolving infarction, and hematoma. Here we present two cases, who had decompressive craniectomy following road traffic accident. Follow-up computerized tomography (CT) scan revealed hyperdense lobulated lesion with peripheral rim enhancement. On magnetic resonance imaging (MRI), lesions were predominantly hypointense on T1-weighted images, and hyperintense on T2-weighted images and showed a lack of restricted diffusion. In view of recent craniectomy and imaging findings diagnosis of foreign body granuloma was made. Both patients underwent surgery, intraoperatively gauze pieces were retrieved from lesions which confirmed preoperative diagnosis. The combination of CT and MRI can diagnose foreign body granuloma, especially in trauma settings. Thus, we can help the surgeon by providing the probable diagnosis for proper management. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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