Migration of Oxidized Cellulose to the Ventricle as a Complication of Endoscopic Third Ventriculostomy: A Case Report
| Autor: | Ângelo M. S. Bomfim Filho, Aldo J. F. da Silva, Rodrigo C. Bomfim, Thiago Fortes |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
Oxidized cellulose leakage lcsh:Surgery lcsh:Medicine chemistry.chemical_compound medicine endoscopy medicine.diagnostic_test business.industry lcsh:R Endoscopic third ventriculostomy lcsh:RD1-811 medicine.disease cellulose Endoscopy Hydrocephalus Surgery Neurosurgical Procedure medicine.anatomical_structure chemistry Ventricle Subdural hygroma Neurology (clinical) Complication business hydrocephalus |
| Zdroj: | Brazilian Neurosurgery, Vol 37, Iss 04, Pp 349-351 (2018) |
| ISSN: | 2359-5922 0103-5355 |
| DOI: | 10.1055/s-0038-1675367 |
| Popis: | Endoscopic third ventriculostomy (ETV) is an increasingly common neurosurgical procedure. Hemostatic agentes (porcine gelatin and oxidized cellulose) are normally placed to plug the cortical hole after ETV to avoid cerebral spinal fluid leakage, subdural hygroma, and hemorrhage. Here we report the case of a 6-year-old boy with hydrocephalus who underwent ETV and which oxidized cellulose was placed to plug the cortical hole. Magnetic resonance imaging of the head performed 3 months after the procedure showed the presence of oxidized cellulose in the ventricle. After an unsuccessful attempt to remove the cellulose, it was decided that the patient should be kept under observation. Two years later, the child is in good health and without any complaints. Hemostatic agents (especially oxidized cellulose) used on the cortical hole after ETV can migrate to the ventricle and compromise the procedure. Follow-up should be performed for such patients, and the main focus should be on not causing further injury. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|