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Conservative management of intraventricular migration of a gelatin sponge: illustrative case

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: The aut...

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Autores principales: Holste, Katherine G., Rodoni, Bridger, Tripathy, Arushi, Jones, Jaes C., Saleh, Sara, Garton, Hugh J. L.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: American Association of Neurological Surgeons 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9379646/
https://www.ncbi.nlm.nih.gov/pubmed/36303480
http://dx.doi.org/10.3171/CASE22126
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author Holste, Katherine G.
Rodoni, Bridger
Tripathy, Arushi
Jones, Jaes C.
Saleh, Sara
Garton, Hugh J. L.
author_facet Holste, Katherine G.
Rodoni, Bridger
Tripathy, Arushi
Jones, Jaes C.
Saleh, Sara
Garton, Hugh J. L.
author_sort Holste, Katherine G.
collection PubMed
description 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: 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: This is the first case describing time until absorption of a gelatin sponge within the ventricle and successful conservative management.
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spelling pubmed-93796462022-10-04 Conservative management of intraventricular migration of a gelatin sponge: illustrative case Holste, Katherine G. Rodoni, Bridger Tripathy, Arushi Jones, Jaes C. Saleh, Sara Garton, Hugh J. L. J Neurosurg Case Lessons Case Lesson 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: 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: This is the first case describing time until absorption of a gelatin sponge within the ventricle and successful conservative management. American Association of Neurological Surgeons 2022-05-16 /pmc/articles/PMC9379646/ /pubmed/36303480 http://dx.doi.org/10.3171/CASE22126 Text en © 2022 The authors https://creativecommons.org/licenses/by-nc-nd/4.0/CC BY-NC-ND 4.0 (http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) ).
spellingShingle Case Lesson
Holste, Katherine G.
Rodoni, Bridger
Tripathy, Arushi
Jones, Jaes C.
Saleh, Sara
Garton, Hugh J. L.
Conservative management of intraventricular migration of a gelatin sponge: illustrative case
title Conservative management of intraventricular migration of a gelatin sponge: illustrative case
title_full Conservative management of intraventricular migration of a gelatin sponge: illustrative case
title_fullStr Conservative management of intraventricular migration of a gelatin sponge: illustrative case
title_full_unstemmed Conservative management of intraventricular migration of a gelatin sponge: illustrative case
title_short Conservative management of intraventricular migration of a gelatin sponge: illustrative case
title_sort conservative management of intraventricular migration of a gelatin sponge: illustrative case
topic Case Lesson
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9379646/
https://www.ncbi.nlm.nih.gov/pubmed/36303480
http://dx.doi.org/10.3171/CASE22126
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