oru.sePublikationer
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Low-grade infection complicating silastic dural substitute 32 years post-operatively
Linköping University, Linköping, Sweden .ORCID iD: 0000-0002-6681-0546
Linköping University, Linköping, Sweden.
Umeå University, Umeå, Sweden.
Linköping University, Linköping, Sweden.
2011 (English)In: Brain Injury, ISSN 0269-9052, E-ISSN 1362-301X, Vol. 25, no 2Article in journal (Refereed) Published
Abstract [en]

Background: A complication of a silastic dural substitute is described, which appeared after 32 years-by far the longest latency period reported in the literature.

Methods: Case report and literature review.

Results: In 1971, a 20-year old woman suffered from an acute subdural haematoma and a temporal cerebral contusion due to a motorbike accident. She underwent an operation with evacuation of these and the dura was mended with a silastic duraplasty. Thirty-two years later she deteriorated with increased memory problems and dysphasia. CT revealed an expanding haemorrhagic mass around the previous duraplasty, which demanded surgery with removal of the silastic dural implant and evacuation of the haemorrhagic mass. Although the haemorrhagic mass enveloped the silastic implant, a contribution of the acrylate flap cannot be ruled out. Bacteriological cultures revealed Acinetobacter spp. in the CSF. Adequate post-operative antibiotic treatment was administered. The patient slowly improved, but the complication represented a major setback in her long-term cognitive and communicative functions.

Conclusions: This case widens the previously reported time-frame of late complications by 60%, from 20 to 32 years, and will hopefully serve to increase the awareness of late infections and haemorrhages induced by silastic dural implants, thereby improving diagnosis and treatment in future cases.

Place, publisher, year, edition, pages
London, United Kingdom: Informa Healthcare, 2011. Vol. 25, no 2
Keyword [en]
Silastic duraplasty, low-grade infection, acinetobacter, graft complication, head injury
National Category
Medical and Health Sciences Neurology
Identifiers
URN: urn:nbn:se:oru:diva-48110DOI: 10.3109/02699052.2010.542431ISI: 000288101800011PubMedID: 21219095Scopus ID: 2-s2.0-78651325772OAI: oai:DiVA.org:oru-48110DiVA: diva2:901435
Available from: 2016-02-08 Created: 2016-02-08 Last updated: 2017-10-17Bibliographically approved

Open Access in DiVA

No full text

Other links

Publisher's full textPubMedScopus

Search in DiVA

By author/editor
Ström, Jakob O.
In the same journal
Brain Injury
Medical and Health SciencesNeurology

Search outside of DiVA

GoogleGoogle Scholar

Altmetric score

Total: 241 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf