Conservative management of intraventricular migration of a gelatin sponge: illustrative case.
Gelfoam
hydrocephalus
neurosurgery
shunt
Journal
Journal of neurosurgery. Case lessons
ISSN: 2694-1902
Titre abrégé: J Neurosurg Case Lessons
Pays: United States
ID NLM: 9918227275606676
Informations de publication
Date de publication:
16 May 2022
16 May 2022
Historique:
received:
15
03
2022
accepted:
23
03
2022
entrez:
28
10
2022
pubmed:
29
10
2022
medline:
29
10
2022
Statut:
epublish
Résumé
Gelatin sponges, such as Gelfoam, are used as hemostatic agents during surgery and are generally absorbed over the course of 4-6 weeks in most body cavities. The time course of the dissolution of Gelfoam sponges within the cerebral ventricles has not been described. The authors present a case of intraventricular migration of Gelfoam after ventriculoperitoneal shunt placement in a 6-week-old infant. The infant was imaged regularly after ventriculoperitoneal shunt placement, and the Gelfoam sponge persisted within the ventricles on all images until 11 months after surgery. At no time during follow-up did the patient have any symptoms of hydrocephalus requiring retrieval of the sponge or shunt revision. This is the first case describing time until absorption of a gelatin sponge within the ventricle and successful conservative management.
Sections du résumé
BACKGROUND
BACKGROUND
Gelatin sponges, such as Gelfoam, are used as hemostatic agents during surgery and are generally absorbed over the course of 4-6 weeks in most body cavities. The time course of the dissolution of Gelfoam sponges within the cerebral ventricles has not been described.
OBSERVATIONS
METHODS
The authors present a case of intraventricular migration of Gelfoam after ventriculoperitoneal shunt placement in a 6-week-old infant. The infant was imaged regularly after ventriculoperitoneal shunt placement, and the Gelfoam sponge persisted within the ventricles on all images until 11 months after surgery. At no time during follow-up did the patient have any symptoms of hydrocephalus requiring retrieval of the sponge or shunt revision.
LESSONS
CONCLUSIONS
This is the first case describing time until absorption of a gelatin sponge within the ventricle and successful conservative management.
Identifiants
pubmed: 36303480
doi: 10.3171/CASE22126
pii: CASE22126
pmc: PMC9379646
doi:
pii:
Types de publication
Journal Article
Langues
eng
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