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Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado

2014, Number 3

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Rev Esp Med Quir 2014; 19 (3)

Exacerbation of cerebral edema associated with the use of Gelfoamä after resection of meningioma

Aguilar-Espinosa F, Gutiérrez-Salinas J, Chávez-Werekeitzen F, Ham-Bustos J, Aguilar-Soto OA

Language: Spanish
References: 26
Page: 356-362
PDF size: 736.29 Kb.


ABSTRACT

Adequate hemostasis in neurosurgery is of paramount importance in a daily practice. There is a variety of hemostatic agents (GelfoamTM, AvatineTM, SurgicelTM) which have demonstrated to be safe and biocompatible. Inflammatory response have been described against hemostatic agents that increase the peritumoral brain edema (PBE) after surgery in a few cases. We report the case of a 54-year-old male with frontal meningioma and during surgery, Gelfoamä was used as hemostatic agent; despite he was previously and after surgery treated with steroids, three days after tumoral resection PBE was increased. We reviewed the literature looking for possible pathophysiological mechanism, prevention and treatment.


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