Top

Acta Neurochirurgica

Published in:

01-07-2009 | Case Report

Transmigration of fibrino-purulent inflammation and malignant cells into an artificial dura substitute (Neuro-Patch®): report of two cases

Authors: Faycal El Majdoub, Mario Löhr, Mohammad Maarouf, Anna Brunn, Werner Stenzel, Ralf-Ingo Ernestus

Published in: Acta Neurochirurgica | Issue 7/2009

Abstract

Purpose

The objective of this work was to present possible, though rare, complications of Neuro-Patch® implantation after brain surgery.

Methods

Two patients, aged 62 and 63 years, who had a partial dural substitution with an artificial polyurethane graft after neurosurgical resection of a gross tumour, are presented.

Results

In the two patients, the avital tissue was infiltrated by either inflammatory or neoplastic tissue respectively.

Conclusions

This report demonstrates a new pathological point of view in using synthetic materials for the reconstruction of dural defects.

Ernestus RI, Ketter G, Klug N (1995) Duraersatz bei intrakraniellen Operationen. Zentralbl Neurochir 56(3):106–110PubMed

Gudmundsson G, Sogaard I (1995) Complications to the use of vicryl-collagen dural substitute. Acta Neurochir (Wien) 132:145–147CrossRef

Malliti M, Page P, Gury C, Chomette E, Nataf F, Roux FX (2004) Comparison of deep wound infection rates using a synthetic dural substitute (neuro-patch) or pericranium graft for dural closure: a clinical review of 1 year. Neurosurgery 54(3):599–603; discussion 603–604PubMedCrossRef

Nelson D, Ganss R (2006) Tumor growth or regression: powered by inflammation. J Leukoc Biol 80(4):685–690PubMedCrossRef

Raul JS, Godard J, Arbez-Gindre F, Czorny A (2003) Use of polyester urethane (Neuro-Patch) as a dural substitute. Prospective study of 70 cases. Neurochirurgie 49(2–3 Pt 1):83–89PubMed

Silzle T, Randolph GJ, Kreutz M, Kunz-Schughart LA (2004) The fibroblast: sentinel cell and local immune modulator in tumor tissue. Int J Cancer 108(2):173–180PubMedCrossRef

Van Calenbergh F, Quintens E, Sciot R, Van Loon J, Goffin J, Plets C (1997) The use of vicryl-collagen as a dura substitute: a clinical review of 78 surgical cases. Acta Neurochir (Wien) 139:120–123CrossRef

Verheggen R, Schulte-Baumann WJ, Hahm G, Lang J, Freudenthaler S, Shaake T, Markakis E (1997) A new technique of dural closure: experience with a vicryl mesh. Acta Neurochir (Wien) 139:1074–1079CrossRef

Von Wild K (1999) Examination of the safety and efficacy of an absorbable dura mater substitute (Dura-Patch) in normal applications in neurosurgery. Surg Neurol 52:418–425CrossRef

10.

Warren WL, Medary MB, Dureza C, Belotte JB, Flannagan PP, Oh MY, Fukushima T (1994) Dura repair using acellular human dermis: experience with 20 cases—technique assessments. Neurosurgery 34:740–744CrossRef

Title: Transmigration of fibrino-purulent inflammation and malignant cells into an artificial dura substitute (Neuro-Patch®): report of two cases
Authors: Faycal El Majdoub
Mario Löhr
Mohammad Maarouf
Anna Brunn
Werner Stenzel
Ralf-Ingo Ernestus
Publication date: 01-07-2009
Publisher: Springer Vienna
Published in: Acta Neurochirurgica / Issue 7/2009
Print ISSN: 0001-6268
Electronic ISSN: 0942-0940
DOI: https://doi.org/10.1007/s00701-009-0207-7

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Transmigration of fibrino-purulent inflammation and malignant cells into an artificial dura substitute (Neuro-Patch®): report of two cases

Abstract

Purpose

Methods

Results

Conclusions

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

Please log in to get access to this content

Other articles of this Issue 7/2009

Microscope and endoscopic pituitary surgery

Clinical course of abducens nerve palsy associated with skull base tumours

The association between high VEGF levels and multiple probable punctuate cavernous malformations

Skull base chordomas: efficacy of surgery followed by carbon ion radiotherapy

Surgical simulation of circumferential osteotomy and correction of cervico-thoracic kyphoscoliosis for an irreducible old C6–C7 fracture dislocation

Elevated level of endothelin-1 in cerebrospinal fluid and lack of nitric oxide in basilar arterial plasma associated with cerebral vasospasm after subarachnoid haemorrhage in rabbits