Abstract
Hypergranulation and crust formation after cranial neurosurgery is rare. We report three patients with an uncommon form of hypergranulation with extensive crust formation after cranial neurosurgery, associated with a St. Aureus infection of the scalp, and propose that this is a form of pyogenic dermatitis, as is commonly seen among domestic animals with a coat of fur. It can be treated conservatively. We propose a treatment algorithm.
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Acknowledgements
We would like to acknowledge Henry J.C. de Vries, MD, PhD, for critically reviewing the manuscript.
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Buis, D.R., Arnts, H., Slot, K.M. et al. Uncommon presentations of a neurosurgical site infection: impaired wound healing with hypergranulation and crust formation. Acta Neurochir 164, 875–879 (2022). https://doi.org/10.1007/s00701-021-05041-5
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DOI: https://doi.org/10.1007/s00701-021-05041-5