Document Detail

Aseptic meningitis caused by Teflon implantation for microvascular decompression. Case report.
MedLine Citation:
PMID:  10413169     Owner:  NLM     Status:  MEDLINE    
The authors present the case of a 47-year-old man who, after undergoing microvascular decompression for trigeminal neuralgia, experienced symptomatic pain relief but developed prolonged aseptic meningitis. This case is unusual in that the patient remained dependent on steroid medications for nearly 5 months following the initial surgery and the aseptic meningitis did not resolve until after surgical removal of the Teflon used to pad the trigeminal nerve. The pathophysiological characteristics of the body's reaction to implanted Teflon are discussed along with the rationale for removing this substance in cases of prolonged intractable aseptic meningitis.
M P Bobek; O Sagher
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of neurosurgery     Volume:  90     ISSN:  0022-3085     ISO Abbreviation:  J. Neurosurg.     Publication Date:  1999 Jan 
Date Detail:
Created Date:  1999-07-30     Completed Date:  1999-07-30     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0253357     Medline TA:  J Neurosurg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  145-7     Citation Subset:  AIM; IM    
Department of Surgery, University of Michigan, Ann Arbor, USA.
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MeSH Terms
Anti-Inflammatory Agents / administration & dosage,  therapeutic use
Arteries / surgery
Cerebellum / blood supply
Decompression, Surgical / instrumentation*
Dexamethasone / administration & dosage,  therapeutic use
Glucocorticoids / administration & dosage,  therapeutic use
Meningitis, Aseptic / etiology*
Middle Aged
Nerve Compression Syndromes / complications,  surgery
Polytetrafluoroethylene / adverse effects*
Prostheses and Implants / adverse effects*
Prosthesis Implantation / adverse effects
Trigeminal Neuralgia / etiology,  surgery*
Reg. No./Substance:
0/Anti-Inflammatory Agents; 0/Glucocorticoids; 50-02-2/Dexamethasone; 9002-84-0/Polytetrafluoroethylene

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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