Foreign Body Reaction Mimicking Intracranial Abscess following the Use of Oxidized Regenerated Cellulose (SurgicelTM): Case Report and Literature Review

Capozza, Matteo; Pansini, Gastone; Buccoliero, Anna Maria; Barbagli, Giovanni; Ashraf-Noubari, Bahman; Mariotti, Furio; Ammannati, Franco

doi:10.18869/acadpub.irjns.2.2.20

Volume 2, Issue 2 (9-2016) Iran J Neurosurg 2016, 2(2): 20-23 | Back to browse issues page

‎ 10.18869/acadpub.irjns.2.2.20

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Capozza M, Pansini G, Buccoliero A M, Barbagli G, Ashraf-Noubari B, Mariotti F et al . Foreign Body Reaction Mimicking Intracranial Abscess following the Use of Oxidized Regenerated Cellulose (SurgicelTM): Case Report and Literature Review. Iran J Neurosurg 2016; 2 (2) :20-23
URL: http://irjns.org/article-1-40-en.html

Foreign Body Reaction Mimicking Intracranial Abscess following the Use of Oxidized Regenerated Cellulose (SurgicelTM): Case Report and Literature Review

Matteo Capozza ^*

¹, Gastone Pansini²

, Anna Maria Buccoliero³

, Giovanni Barbagli¹

, Bahman Ashraf-Noubari¹

, Furio Mariotti²

, Franco Ammannati²

1- MD, Department of Neurosurgery, University of Florence, Italy
2- MD, Neurosurgical Unit, Careggi General Hospital, Florence, Italy
3- MD, Unit of Pathology, Meyer Hospital, Florence, Italy

Abstract: (6698 Views)

Background & Importance: The use of local hemostatic agents in neurosurgery is mandatory in order to control the sequelae of intracerebal hemorrhage. It is widely used in oxidized regenerated cellulose (Surgicel™).
Case Presentation: A 54-year-old man previously operated for grade II meningioma came back to our attention due to the onset of left side arm weakness one month after surgery. The CT scan and MRI showed an extensive lesion on the surgical site with the suspect of intracranial abscess. Intraoperative detections suggested the features of a granulomatous foreign body reaction.
Conclusion: The occurrence of granulomatous reaction to oxidized regenerated cellulose, when used as hemostatic agent, is a very rare finding following intracranial surgery.

Keywords: Foreign Body Reaction, Surgicel™, Oxidized Regenerated Cellulose, Topical Haemostatic Agents, Intracranial Abscess, Brain Surgery

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Type of Study: Case report | Subject: Gamma Knife Radiosurgery

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