DOI QR코드

DOI QR Code

Infection of Cranioplasty Seen Twenty Years Later

  • Gurbuz, Mehmet Sabri (Department of Neurosurgery, Haydarpasa Numune Education and Research Hospital) ;
  • Celik, Ozgur (Department of Neurosurgery, Haydarpasa Numune Education and Research Hospital) ;
  • Berkman, Mehmet Zafer (Department of Neurosurgery, Haydarpasa Numune Education and Research Hospital)
  • Received : 2012.03.02
  • Accepted : 2012.10.31
  • Published : 2012.11.28

Abstract

Cranioplasty is performed using autograft and allograft materials on patients to whom craniectomy was applied previously due to the facts that, this region is open to trauma and the scalp makes irritation and pressure onto the brain paranchyma causing brain atrophy and convulsions. Dramatical improvement of neurological deficits, control of convulsions and partial prevention of cerebral atrophy are achieved after these operations. One of the most important complications of cranioplasty is late infection. Here, we report a 43-year-old male patient admitted with the history of purulant discharge from the right temporal incission site for one year to whom cranioplasty had been performed with allograft material 20 days after craniectomy which had been performed in 1989. Allograft cranioplasty material was removed and cranioplasty was performed using new allograft material with the diagnosis of late cranioplasty infection.

Keywords

References

  1. Benzel EC, Thammavaram K, Kesterson L : The diagnosis of infections associated with acrylic cranioplasties. Neuroradiology 32 : 151-153, 1990 https://doi.org/10.1007/BF00588566
  2. Brett-Major DM, Baraniak SM, Gilhooly JE, Christensen RL, Grant GT, Armonda RA, et al. : Foreign-body reaction mimicking postneurosurgical infection after cranioplasty. Mil Med 173 : 697-699, 2008 https://doi.org/10.7205/MILMED.173.7.697
  3. Cheng YK, Weng HH, Yang JT, Lee MH, Wang TC, Chang CN : Factors affecting graft infection after cranioplasty. J Clin Neurosci 15 : 1115-1119, 2008 https://doi.org/10.1016/j.jocn.2007.09.022
  4. Edwards MSB, Ousterhout DK : Autogeneic skull bone grafts to reconstruct large or compleks skull defects in children and adolescents. Neurosurgery 20 : 273-280, 1987 https://doi.org/10.1227/00006123-198702000-00013
  5. Gladstone HB, McDermott MW, Cooke DD : Implants for cranioplasty. Otolaryngol Clin North Am 28 : 381-400, 1995
  6. Hammon WM, Kempe LG : Methyl methacrylate cranioplasty. 13 years experience with 417 patients. Acta Neurochir (Wien) 25 : 69-77, 1971 https://doi.org/10.1007/BF01808863
  7. Matsuno A, Tanaka H, Iwamuro H, Takanashi S, Miyawaki S, Nakashima M, et al. : Analyses of the factors influencing bone graft infection after delayed cranioplasty. Acta Neurochir (Wien) 148 : 535-540; discussion 540, 2006 https://doi.org/10.1007/s00701-006-0740-6
  8. Morioka T, Fujiwara S, Akimoto T, Nishio S, Fukui M : Intracranial epidural abscess : late complication of allograft cranioplasty. FukuokaIgaku Zasshi 87 : 57-59, 1996
  9. Rish BL, Dillon JD, Meirowsky AM, Caveness WF, Mohr JP, Kistler JP, et al. : Cranioplasty : a review of 1030 cases of penetrating head injury. Neurosurgery 4 : 381-385, 1979 https://doi.org/10.1227/00006123-197905000-00002
  10. Sakai H, Kanki T, Fuse T, Nakamura N : [Head injuries in patients with pre-existing skull defects]. No Shinkei Geka 11 : 1093-1096, 1983
  11. Schuss P, Vatter H, Marquardt G, Imöhl L, Ulrich CT, Seifert V, et al. : Cranioplasty after decompressive craniectomy : the effect of timing on postoperative complications. J Neurotrauma 29 : 1090-1095, 2012 https://doi.org/10.1089/neu.2011.2176
  12. Sekerci Z, Colpan E : Kranioplastiler. Temel NoroSirurji, cilt 1, birincibaski, Ankara : Turk NoroSirurji Dernegi Yayınlari 2005 : 246-257
  13. Thavarajah D, De Lacy P, Hussien A, Sugar A : The minimum time for cranioplasty insertion from craniectomy is six months to reduce risk of infection--a case series of 82 patients. Br J Neurosurg 26 : 78-80, 2012 https://doi.org/10.3109/02688697.2011.603850
  14. Tokoro K, Chiba Y, Tsubone K : Late infection after cranioplasty--review of 14 cases. Neurol Med Chir (Tokyo) 29 : 196-201, 1989 https://doi.org/10.2176/nmc.29.196
  15. Yamaura A, Sato M, Meguro K, Nakamura T, Uemura K : [Cranioplasty following decompressive craniectomy--analysis of 300 cases (author's transl)]. No Shinkei Geka 5 : 345-353, 1977

Cited by

  1. Never say never again: A bone graft infection due to a hornet sting, thirty-nine years after cranioplasty vol.8, pp.1, 2012, https://doi.org/10.4103/sni.sni_68_17
  2. Complications of Cranioplasty in Relation to Material: Systematic Review, Network Meta-Analysis and Meta-Regression vol.89, pp.3, 2012, https://doi.org/10.1093/neuros/nyab180