Document Detail

Gauze-induced granuloma ("gauzoma"): an uncommon complication of gauze reinforcement of berry aneurysms.
MedLine Citation:
PMID:  2404088     Owner:  NLM     Status:  MEDLINE    
Incompletely and even adequately clipped berry aneurysms are often reinforced with finely shredded gauze. In seven female patients this practice led to a series of events including headache, pyrexia, seizures, cranial nerve deficits, endocrinopathy, cerebrospinal fluid pleocytosis, and an enhancing mass demonstrated by computerized tomography at the aneurysm site. One patient with blindness, hydrocephalus, and panhypopituitarism died and was examined at autopsy. Three additional female patients have been identified in the literature with similar case histories. It is suggested that in these patients the gauze induced a foreign-body granuloma, accompanied by progressive occlusion of neighboring small arteries. It would seem prudent to reserve gauze reinforcement for aneurysms that cannot be securely obliterated surgically.
I Chambi; R R Tasker; F Gentili; W M Lougheed; H S Smyth; J Marshall; I Young; J Deck; J Shrubb
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of neurosurgery     Volume:  72     ISSN:  0022-3085     ISO Abbreviation:  J. Neurosurg.     Publication Date:  1990 Feb 
Date Detail:
Created Date:  1990-02-21     Completed Date:  1990-02-21     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0253357     Medline TA:  J Neurosurg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  163-70     Citation Subset:  AIM; IM    
Division of Neurosurgery (Department of Surgery), Toronto General Hospital, University of Toronto, Ontario, Canada.
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MeSH Terms
Foreign-Body Reaction / etiology*
Granuloma, Foreign-Body / etiology*
Intracranial Aneurysm / surgery*
Middle Aged
Postoperative Complications / etiology*
Surgical Sponges / adverse effects*
Comment In:
J Neurosurg. 1991 Mar;74(3):529-30   [PMID:  1993926 ]

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

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