Top

Published in:

01-07-2017 | Case Report

Teflon granuloma after microvascular decompression for hemifacial spasm: a case report and literature review

Published in: Neurosurgical Review | Issue 3/2017

Abstract

Teflon has been commonly used as a surgical material. In particular, Teflon has been considered suitable for microvascular decompression of cranial nerves, as it is a stable, inert substance that does not resorb or migrate. Giant cell foreign body reactions after microvascular decompression (MVD) have been reported, but this rare complication has not been well recognized. Here, we report one case of Teflon granuloma that occurred 4 years after MVD for hemifacial spasm. We discuss the cause, histopathological analysis, particular MVD surgical methods, and management of Teflon granuloma.

Available only for authorised users

Baker FG II, Janetta PJ, Bissonette DJ, Larkins MV, Jho HD (1996) The long-term outcome of microvascular decompression for trigeminal neuralgia. N Engl J Med 334:1077–1083CrossRef

Bederson JB, Wilson CB (1989) Evaluation of microvascular decompression and partial rhizotomy in 252 cases of trigeminal neuralgia. J Neurosurg 71:359–367CrossRefPubMed

Bejjani GK, Shekhar LN (1997) Repositioning of the vertebral artery as treatment for neurovascular compression syndromes: technical note. J Neurosurg 86:728–732CrossRefPubMed

Capelle HH, Brandis A, Tschan CA, Krauss JK (2010) Treatment of recurrent trigeminal neuralgia due to Teflon granuloma. J Headache Pain 11:339–344CrossRefPubMedPubMedCentral

Chen J, Lee S, Lui T, Yen Y, Chen T, Tzaan W (2000) Teflon granuloma after microvascular decompression for trigeminal neuralgia. Surg Neurol 53:281–287CrossRefPubMed

Chung R, Piper MA, Boland TJ (1993) Recurrent giant cell reaction to residual Proplast in the temporomandibular joint. Oral Surg Oral Med Oral Pathol 76:9–16

Dedo HH, Carlsoo B (1982) Histologic evaluation of Teflon granulomas of human vocal codes: a light and electron microscopic study. Acta Otolaryngol 93:475–484CrossRefPubMed

Deep NL, Graffeo CS, Copeland WR III, Link MJ, Atkinson JL, Neff BA et al (2016) Teflon granuloma mimicking cerebellopontine angle tumors following microvascular decompression. Laryngoscope 126:E310–E313CrossRef

Engh JA, Horowitz M, Burkhart L, Chang YF, Kassam A (2005) Repeat microvascular decompression for hemifacial spasm. J Neurol Neurosurg Psychiatry 76:1574–1580CrossRefPubMedPubMedCentral

10.

Fukushima T (1984) Results of posterior fossa microvascular decompression in the treatment of hemifacial spasm. Facial N Res Jpn 4:9–14 Japanese

11.

Goya T, Wakisaka S, Kinoshita K (1990) Microvascular decompression for trigeminal neuralgia with special reference to delayed recurrence. Neurol Med Chir (Tokyo) 30:462–467CrossRef

12.

Jagannath PM, Venkataramana NK, Bansal A, Ravichandra M (2012) Outcome of microvascular decompression for trigeminal neuralgia using autologous muscle draft: a five-year prospective study. Asian J Neurosurg 7:125–130CrossRefPubMedPubMedCentral

13.

Janetta PJ, Tew PJ Jr (1979) Treatment of trigeminal neuralgia. Neurosurgery 4:93CrossRef

14.

Matsushima T, Yamaguchi T, Inoue TK, Matsukado K, Fukui M (2000) Recurrent trigeminal neuralgia after microvascular decompression using an interposing technique. Teflon belt adhesion and the sling retraction technique. Acta Neurochir 142:557–561CrossRefPubMed

15.

Megerian CA, Busaba NY, McKenna MJ, Ojemann RG (1995) Teflon granuloma presenting as an enlarging, gadolinium enhancing posterior fossa mass with progressive hearing loss following microvascular decompression. Am J Otol 16:783–786PubMed

16.

Park YS, Chang JH, Cho J, Park YG, Chung SS, Chung JW (2006) Reoperation for persistent or recurrent hemifacial spasm after microvascular decompression. Neurosurgery 58:1162–1167CrossRefPubMed

17.

Premsagar IC, Moss T, Cakham HB (1997) Teflon-induced granuloma following treatment of trigeminal neuralgia by microvascular decompression: report of two cases. J Neurosurg 87:454–457CrossRefPubMed

18.

Skinner HA (1931) Some histologic features of the cranial nerves. Arch Neuro Psychiatry 25:356CrossRef

19.

Tanaka Y, Uchida M, Onodera H, Hiromoto J, Yoshida Y (2014) Simple transposition technique for microvascular decompression using an expanded polytetrafluoroethylene “belt”: technical note. Neurol Med Chir (Tokyo) 54:483–485CrossRef

20.

Toth G, Rubeiz H, Macdonald RL (2007) Polytetrafluoroethlene-induced granuloma and brainstem cyst after microvascular decompression for trigeminal neuralgia: case report. Neurosurgery 61:875–877CrossRef

Title: Teflon granuloma after microvascular decompression for hemifacial spasm: a case report and literature review
Publication date: 01-07-2017
Published in: Neurosurgical Review / Issue 3/2017
Print ISSN: 0344-5607
Electronic ISSN: 1437-2320
DOI: https://doi.org/10.1007/s10143-017-0865-5

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Teflon granuloma after microvascular decompression for hemifacial spasm: a case report and literature review

Abstract

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 3/2017

Paradigms for single-patient multimodality treatment for cerebral aneurysms: single-center eleven-year experience

Biological relevance of tissue factor and IL-6 in arteriovenous malformations

The value of quantitative sensory testing in spine research

Evaluation of posterior clinoid process pneumatization by multidetector computed tomography

Multimodal treatment of craniofacial osteosarcoma with high-grade histology. A single-center experience over 35 years

Endoscopic approach-routes in the posterior fossa cisterns through the retrosigmoid keyhole craniotomy: an anatomical study