Treatment of CSF leakage and infections of dural substitute in decompressive craniectomy using fascia lata implants and related anatomopathological findings.

Abstract:

:Purpose: Decompressive craniectomy (DC) is widely used to treat raised intracranial pressure (ICP) in cranial trauma and stroke. It is accompanied by numerous complications. The aim of our study is to assess the surgical treatment of infections related to the use of a dural substitute with concurrent CSF leakage performed at our institution.Material and methods: A retrospective analysis of a series of 72 patients who underwent DC between 2011 and 2017 was performed. Seven cases (9%) showed infection related to the use of xenograft (bovine pericardium) and coexisting CSF leakage. Epidural/subdural empyemas were observed in seven cases; three in conjunction with an intracerebral abscess. For reconstruction, free anterolateral thigh fascia lata flaps were used, based on the size of the defect.Results: After removal of the dural substitute and the implant of free fascia lata, infection and CSF leaks resolved in all. An anatomopathological examination of the implant at the later time of cranioplasty (CP) showed the tissue had become vascularized exhibiting integration with the native dura. No complications related to the harvesting of the fascia lata were observed.Conclusions: Fascia lata is a validated source of autologous grafts; it is cost-free and would appear to be the biological material most similar to the dura mater. The implanted material appears to maintain a lasting vitality when covered over with a well-vascularized scalp, even after a period of months, achieving a successful suppression of infection. Subsequent skull reconstruction is performed safely and easily using artificial bone.

journal_name

Br J Neurosurg

authors

Callovini GM,Bolognini A,Callovini T,Giordano M,Gazzeri R

doi

10.1080/02688697.2020.1735301

subject

Has Abstract

pub_date

2020-03-06 00:00:00

pages

1-4

eissn

0268-8697

issn

1360-046X

pub_type

杂志文章
  • Spinal cord compression from precipitation of drug solute around an epidural catheter.

    abstract::We report a previously undescribed complication of long-term epidural catheter placement for the administration of analgesia in terminal malignancy. Spinal cord compression resulted from a drug-related precipitate forming around the epidural catheter tip, which was successfully treated by surgical decompression. ...

    journal_title:British journal of neurosurgery

    pub_type: 杂志文章

    doi:10.1080/02688699844673

    authors: Johnston MK,Harland SP

    更新日期:1998-10-01 00:00:00

  • Management of delayed oesophagus perforation and osteomyelitis after cervical spine surgery: review of the literature.

    abstract::Oesophagus perforation is a possible complication of anterior cervical spine surgery, which generally occurs during the first postoperative days. Delayed perforation is very rare and its management remains controversial. We report the successful management of a delayed oesophagus perforation associated with an osteomy...

    journal_title:British journal of neurosurgery

    pub_type: 杂志文章,评审

    doi:10.3109/02688697.2011.609604

    authors: Zairi F,Tetard MC,Thines L,Assaker R

    更新日期:2012-04-01 00:00:00

  • A retrospective study to assess the results of CT-directed peri-neural root infiltration in a cohort of 56 patients with low back pain and sciatica.

    abstract::Fifty-six patients with low back pain and sciatica following radiological investigation were found to have abnormalities at multiple levels, more than one of which could be responsible for the clinical picture or at a single level, which correlated poorly with the clinical findings. Thirty-four patients had a diagnost...

    journal_title:British journal of neurosurgery

    pub_type: 杂志文章

    doi:10.1080/02688699943709

    authors: Porter DG,Valentine AR,Bradford R

    更新日期:1999-06-01 00:00:00

  • Giant traumatic pseudoaneurysm of the superficial temporal artery: treatment challenges and case review.

    abstract::Traumatic pseudoaneurysms of the superficial temporal artery are uncommon. They present to a variety of specialities - orthopaedics, ear, nose and throat, neurosurgery, maxillofacial, plastic surgery, vascular surgery and dermatology. Experience managing these lesions is therefore limited and diluted. We present a cas...

    journal_title:British journal of neurosurgery

    pub_type: 杂志文章

    doi:10.1080/02688690600777034

    authors: Murphy M,Hughes D,Liaquat I,Edmondson R,Bullock P

    更新日期:2006-06-01 00:00:00

  • CSF diversion in benign intracranial hypertension using a lumbo-atrial shunt.

    abstract::An obese woman with benign intracranial hypertension had been managed for several years with lumbo-peritoneal shunting. Following a bilopancreatic procedure performed for management of her obesity dense peritoneal adhesions caused repeated shunt failure. The shunt system was successfully converted to a lumbo-atrial sy...

    journal_title:British journal of neurosurgery

    pub_type: 杂志文章

    doi:10.1080/02688690601127460

    authors: Pülhorn H,Redfern RM

    更新日期:2006-12-01 00:00:00

  • Multicentric malignant glioma.

    abstract::Multicentre gliomas are a well recognized entity but the occurrence of such tumours both above and below the tentorium remains uncommon. We report the case of an 11-year-old boy who underwent stereotactic biopsy of a brain stem ring enhancing tumour with histology of an anaplastic astrocytoma (Grade 3). Nine months fo...

    journal_title:British journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3109/02688699109002887

    authors: Pell MF,Revesz T,Thomas DG

    更新日期:1991-01-01 00:00:00

  • MRI study of the natural history and risk factors for pseudomeningocoele formation following postfossa surgery in children.

    abstract::Surgical approaches to the posterior fossa may be complicated by pseudomeningocoele formation. We report on its natural history and risk factors for its formation, as seen on serial MRI postoperatively in children with posterior fossa tumours. In a retrospective study of 84 children undergoing surgery for posterior fo...

    journal_title:British journal of neurosurgery

    pub_type: 杂志文章

    doi:10.1080/02688690310001627777

    authors: Gnanalingham KK,Lafuente J,Thompson D,Harkness W,Hayward R

    更新日期:2003-12-01 00:00:00

  • Cranial fasciitis of childhood: an incidental finding of a lytic skull lesion.

    abstract::We describe a case of cranial fascitis presenting as an incidental finding. A 2 1/2-year-old girl had skull radiographs performed after sustaining a minor head injury, which revealed a lytic skull lesion. We describe the salient features of the case and review the current literature of this rare benign inflammatory co...

    journal_title:British journal of neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1080/02688699745989

    authors: Boddie DE,Distante S,Blaiklock CT

    更新日期:1997-10-01 00:00:00

  • A simplified technique for lengthening peritoneal catheters.

    abstract::Existing techniques for lengthening a peritoneal catheter require a formal laparotomy, and exploration for the catheter which is then extended by the addition of a necessary length. We describe a simplified technique which is quicker and which in co-operative patients can be done under local anaesthesia on an out-pati...

    journal_title:British journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3109/02688699208995037

    authors: Mittal P,Chand M,Chhabra DK

    更新日期:1992-01-01 00:00:00

  • Biographical sketch: Nosrat Ollah Ameli, MB, ChB (Hons), ChM (Birm), FICS, FRCS (Eng).

    abstract::Nosrat Ollah Ameli (1913-2010) was one of the pioneers in Iranian neurosurgery. After training in England in the 1950s, Ameli returned to his country to found the Darioush Kabir Hospital, where he started the first neurosurgical ward in collaboration with Prof. E. Samiy. Here he applied his genius and innovation to de...

    journal_title:British journal of neurosurgery

    pub_type: 传,历史文章,杂志文章

    doi:10.3109/02688697.2012.685779

    authors: Alimi M,Rahimi-Movaghar V

    更新日期:2012-10-01 00:00:00

  • Use of robot-guided stereotactic placement of intracerebral electrodes for investigation of focal epilepsy: initial experience in the UK.

    abstract::We describe the operative technique and our preliminary experience with use of the Renishaw neuromate(®) stereotactic robot to implant depth electrodes for investigation of focal epilepsy in the UK. Conventional electrocorticography involving a craniotomy and implantation of grids of electrodes directly onto the brain...

    journal_title:British journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3109/02688697.2013.798859

    authors: Abhinav K,Prakash S,Sandeman DR

    更新日期:2013-10-01 00:00:00

  • Can anatomic level of injury on MRI predict neurological level in acute cervical spinal cord injury?

    abstract:BACKGROUND:Determining neurological level of injury (NLI) is of paramount importance after spinal cord injury (SCI), although its accuracy depends upon the reliability of the neurologic examination. Here, we determine if anatomic location of cervical cord injury by MRI (MRI level of injury) can predict NLI in the acute...

    journal_title:British journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3109/02688697.2015.1056089

    authors: Zohrabian VM,Parker L,Harrop JS,Vaccaro AR,Marino RJ,Flanders AE

    更新日期:2016-01-01 00:00:00

  • Chiari I malformation: surgical experience over a decade of management.

    abstract::Chiari malformations are a pathological continuum of hindbrain maldevelopment and Chiari I malformation (CMI) represents caudal decent of cerebellar tonsils. The surgery aims to relieve tonsillar compression with restoration of the normal cerebrospinal (CSF) flow dynamics. We report the salient features of our surgica...

    journal_title:British journal of neurosurgery

    pub_type: 杂志文章

    doi:10.1080/02688690801894638

    authors: Kumar R,Kalra SK,Vaid VK,Mahapatra AK

    更新日期:2008-06-01 00:00:00

  • Primary optic nerve sheath schwannoma: a case report.

    abstract:BACKGROUND:The optic nerve is an unusual site of schwannoma as it lacks Schwannoma cells on it. We report a primary optic sheath schwannoma and to review the literature. CASE REPORT:A 29-year old female presented with progressive painless non-pulsatile proptosis. Ocular examination revealed only axial proptosis. Imagi...

    journal_title:British journal of neurosurgery

    pub_type: 杂志文章

    doi:10.1080/02688697.2020.1869181

    authors: Sharma A,Singh D,Saran R

    更新日期:2021-01-08 00:00:00

  • Effect of pre- and postganglionic lesioning of the trigeminal nerve on cerebral blood flow and glucose metabolism following a subarachnoid haemorrhage in the squirrel monkey.

    abstract::Simultaneous cerebral blood flow (CBF) and glucose metabolism (CMRglu) studies with a double isotope autoradiographic technique were applied to squirrel monkeys submitted to a unilateral pre- or postganglionic trigeminal lesion. The CBF values were not affected following a pre- or postganglionic lesion per se. In cont...

    journal_title:British journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3109/02688699209002929

    authors: Shiokawa Y,Delgado-Zygmunt TJ,Arbab MA,Svendgaard NA

    更新日期:1992-01-01 00:00:00

  • Cavernous malformation of the optic chiasm: case report.

    abstract::We report a 14-year-old boy with cavernous malformation of the optic chiasm. He had a 2-year history of gradually worsening visual disturbance. Computed tomography (CT) and magnetic resonance imaging (MRI) revealed a suprasellar mass, findings compatible with craniopharyngioma. The mass was biopsied and histological e...

    journal_title:British journal of neurosurgery

    pub_type: 杂志文章

    doi:10.1080/02688690601000238

    authors: Muta D,Nishi T,Koga K,Yamashiro S,Fujioka S,Kuratsu J

    更新日期:2006-10-01 00:00:00

  • The presigmoid approach for removal of tumours causing ventral compression of the brainstem. Surgical results and postoperative quality of life.

    abstract:OBJECTIVE:To assess surgical results and quality of life after removal of tumours causing ventral compression of the brainstem using the presigmoid or combined presigmoid/retrosigmoid approaches. METHODS:A review of all our patients operated on with removal of tumours causing ventral compression of the brainstem in wh...

    journal_title:British journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3109/02688697.2010.525266

    authors: Frič R,Eide PK

    更新日期:2011-02-01 00:00:00

  • Endoscopic transsphenoidal drainage of a petrous apex cholesterol granuloma using a frontal sinus nasal stent: a case report with long term follow up.

    abstract::Background: Cholesterol granulomas of the petrous apex are benign cysts affecting 0.6 patients per 1 million. The pathophysiology involves cholesterol crystals and lipids that are surrounded by giant cells. The cholesterol deposits induce an inflammatory response likely from acute hemorrhage leading to the formation o...

    journal_title:British journal of neurosurgery

    pub_type: 杂志文章

    doi:10.1080/02688697.2020.1773400

    authors: Lucke-Wold B,Fleseriu C,Calcagno H,Smith T,Levy J,Ciporen J

    更新日期:2020-06-09 00:00:00

  • Patients with true mixed growth hormone and prolactin-secreting pituitary adenoma: a case series of 12 patients.

    abstract::Objective: Mixed growth hormone (GH) and prolactin (PRL) secreting adenomas are the most common type of plurihormonal pituitary adenomas. We assessed the clinical presentations and impacts of transsphenoidal surgery (TS) on patients with mixed GH and PRL adenomas including surgical outcomes, complications, and prognos...

    journal_title:British journal of neurosurgery

    pub_type: 杂志文章

    doi:10.1080/02688697.2020.1713989

    authors: Gulbadin D,Li Z,Shahbaz M,Farhaj Z,Shabbir A,Qi Q,Tang K,Ni S,Sun L

    更新日期:2020-04-01 00:00:00

  • Idiopathic common peroneal nerve palsy--a review of thirteen cases.

    abstract::Thirteen cases of idiopathic common peroneal nerve palsy were reviewed and the clinical presentation and course evaluated. Incomplete nerve palsy of unknown aetiology has a good prognosis and all the patients in this group made a full recovery without surgical intervention. Those presenting with a clinically and elect...

    journal_title:British journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3109/02688699108998440

    authors: Pigott TJ,Jefferson D

    更新日期:1991-01-01 00:00:00

  • Pain and functional outcomes following vertebroplasty for vertebral compression fractures - A tertiary centre experience.

    abstract:OBJECTIVES:There is a dearth of comparative outcome data on vertebroplasty for the treatment of vertebral compression fractures (VCF) according to vertebral level, the number of levels and aetiology. The aim of this study was to investigate the improvement of pain and function following vertebroplasty for a heterogeneo...

    journal_title:British journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3109/02688697.2015.1096901

    authors: Mukherjee S,Yeh J,Ellamushi H

    更新日期:2016-01-01 00:00:00

  • Intraventricular haematoma: management of comatose patients with valve regulated external ventricular drainage.

    abstract::Over a 2-year period, 22 consecutive comatose patients (Glasgow Coma Score of less than or equal to 8) with intraventricular haematomas were managed with prolonged external ventricular drainage via an external one-way valve regulated system. The mean duration of drainage was 12 days. The overall mortality was 23%. Acc...

    journal_title:British journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3109/02688698809029600

    authors: Chan KH,Mann KS

    更新日期:1988-01-01 00:00:00

  • Visual outcome after transsphenoidal surgery for pituitary adenomas.

    abstract::We have reviewed the records of 53 patients with visual impairment secondary to pituitary macroadenomas and studied the visual outcome after surgery. After transsphenoidal procedures visual field defects improved in 89% of the patients and visual acuity improved in 82%. There were 13 cases of acute symptomatic intratu...

    journal_title:British journal of neurosurgery

    pub_type: 杂志文章

    doi:10.1080/02688699550041485

    authors: Peter M,De Tribolet N

    更新日期:1995-04-01 00:00:00

  • Analysis of postoperative dysphagia after anterior cervical decompression and fusion.

    abstract::Purpose: To investigate the incidence and risk factors of postoperative dysphagia after anterior cervical decompression and fusion (ACDF) in terms of demographic, procedural and anaesthetic perspectives.Materials and methods: Medical records and radiologic data of patients who underwent anterior cervical surgery perfo...

    journal_title:British journal of neurosurgery

    pub_type: 杂志文章

    doi:10.1080/02688697.2020.1757037

    authors: Park JH,Lee SH,Kim ES,Eoh W

    更新日期:2020-08-01 00:00:00

  • Debate--does a reversible penumbra exist in intracerebral haemorrhage?

    abstract::Intracerebral haemorrhage is a devastating condition lacking effective therapies, with an uncertain role for surgery in many. Early research described an ischaemic penumbra around the haematoma, representing an area of potential therapeutic intervention. This article discusses the evidence for and against the existenc...

    journal_title:British journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3109/02688697.2011.578773

    authors: Kirkman MA

    更新日期:2011-08-01 00:00:00

  • Clinical and radiographic features of moyamoya disease in patients with both cerebral ischaemia and haemorrhage.

    abstract:OBJECTIVES:Patients with moyamoya disease (MMD) very rarely develop both cerebral ischaemia and haemorrhage. The aim of this study was to clarify the clinical and radiographic features of MMD in patients who presented with both ischaemia and haemorrhage, compared with MMD patients who presented with one or the other. ...

    journal_title:British journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3109/02688697.2012.717983

    authors: Hishikawa T,Tokunaga K,Sugiu K,Date I

    更新日期:2013-04-01 00:00:00

  • Standard intracranial in vivo animal models of delayed cerebral vasospasm.

    abstract:OBJECT:Animal models provide a basis for clarifying the complex pathogenesis of delayed cerebral vasospasm (DCVS) and for screening of potential therapeutic approaches. Arbitrary use of experimental parameters in current models can lead to results of uncertain relevance. The aim of this work was to identify and analyze...

    journal_title:British journal of neurosurgery

    pub_type: 杂志文章,评审

    doi:10.3109/02688691003746274

    authors: Marbacher S,Fandino J,Kitchen ND

    更新日期:2010-08-01 00:00:00

  • Vascular neurofibromatosis affecting the internal carotid artery: a case report.

    abstract::A patient with von Recklinghausen's disease presented with a right sixth nerve palsy. Investigations demonstrated unilateral dolichoectasia of the intracranial carotid artery and sphenoid wing dysplasia. This case demonstrates an association not previously documented, that of unilateral fusiform dilatation of the caro...

    journal_title:British journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3109/02688699409027975

    authors: Steel TR,Bentivoglio PB,Garrick R

    更新日期:1994-01-01 00:00:00

  • Delayed diagnosis, due to the associated radiological abnormalities, of spontaneous intracranial hypotension caused by cerebrospinal fluid leakage at C1-2.

    abstract::Spontaneous intracranial hypotension (SIH) is an uncommon clinical entity that is often diagnosed after a delay, or it is misdiagnosed due to the variety of clinical presentations and the associated radiological findings. We present here a case of SIH associated with chronic subdural haematoma (SDH) and subarachnoid h...

    journal_title:British journal of neurosurgery

    pub_type: 杂志文章

    doi:10.1080/02688690701790597

    authors: Joo WI,Lee KJ,Rha HK,Park HK,Chough JK

    更新日期:2008-04-01 00:00:00

  • Changes of inflammatory cytokines in vertebral compression fractures patients with percutaneous balloon kyphoplasty.

    abstract:OBJECTIVE:To explore the changes of a series of cytokines before and after percutaneous balloon kyphoplasty (PKP) and prognostic markers for response to PKP. METHODS:From 1 January 2019 to 31 May 2019, all single-level lumbar osteoporotic vertebral compression fracture (OVCF) patients diagnosed by MRI who matched the ...

    journal_title:British journal of neurosurgery

    pub_type: 杂志文章

    doi:10.1080/02688697.2020.1823941

    authors: Zhang J,Xu Y,Lu W,Sun F,Li H

    更新日期:2020-10-14 00:00:00