Author/Authors :
Capozza, Matteo Department of Neurosurgery - University of Florence, Italy , Pansini, Gastone Neurosurgical Unit - Careggi General Hospital, Florence, Italy , Buccoliero, Anna Maria Unit of Pathology - Meyer Hospital, Florence, Italy , Barbagli, Giovanni Department of Neurosurgery - University of Florence, Italy , Ashraf-Noubari, Bahman Department of Neurosurgery - University of Florence, Italy , Mariotti, Furio Neurosurgical Unit - Careggi General Hospital, Florence, Italy , Ammannati, Franco Neurosurgical Unit - Careggi General Hospital, Florence, Italy
Abstract :
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 , Oxidized Regenerated Cellulose , Brain Surgery , Topical Haemostatic Agents , Intracranial Abscess
