Summary
A case is presented in which a patient developed a complication related to the use of Silastic dural substitute. Ten years after the initial surgery, a fibrotic-haemorrhagic reaction around the graft material was found, mimicking a recurrent meningioma clinically and radiologically. A review of the literature and suggested mechanisms of these complications are reported.
Similar content being viewed by others
References
Adegbite AB, Paine KWE, Rozdilsky B (1983) The role of neomembranes in formation of hematoma around Silastic dura substitute. J Neurosurg 58: 295–297
Benerjee T, Meagher JN, Hunt WE (1974) Unusual complication with use of Silastic dural substitute. Am Surg 40: 434–437
Berrington NR (1992) Acute extradural hematoma associated with Silastic dural substitute, case report, Surg Neurol 38: 469–470
Cohen AR, Aleksis S, Ransohoff J (1989) Inflammatory reaction to synthetic dural substitute. J Neurosurg 70: 633–635
Collis JS, Meier G (1973) The indication and technique for the use of subdural patch. Surg Gynecol Obstet 136: 449–450
Fontana R, Talamonti G, D'Angelo V, Arena O, Monte V, Collice M (1992) Spontaneous haematoma as unusual complication of silastic dural substitute. Report of 2 cases. Acta Neurochir (Wien) 115: 64–66
Keller JJ, Ongkiko CM, Saunders MC, Mayfield FH, Dunsker SB (1984) Repair of spinal dural defects. An experimental study. J Neurosurg 60: 1022–1028
Lee JF, Odom GL, Tindall GT (1967) Experimental evaluation of silicone-coated Dacron and collagen fabric-film laminate as dural substitutes. J Neurosurg 27: 558–564
Ng THK, Chan KH, Leung AY, Mann KS (1990) An unusual complication of Silastic dural substitute. Case report. Neurosurgery 27: 491–493
Ongkiko CM, Keller JT, Mayfield FH, Dunsker SB (1984) An unusual complication of Dura Film as a dural substitute: report of two cases. J Neurosurg 60: 1076–1079
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Siccardi, D., Ventimiglia, A. Fibrotic-haemorrhagic reaction to synthetic dural substitute. Acta neurochir 132, 148–149 (1995). https://doi.org/10.1007/BF01404864
Issue Date:
DOI: https://doi.org/10.1007/BF01404864