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Pial Laceration from a Dural Suture Causing Devastating Neurological Deficits.
Acta Neurochir Suppl
November 2024
Section of Neurosurgery, Department of Neurological Sciences, Christian Medical College Hospital, Vellore, Tamil Nadu, India.
A 39-year-old man received empiric treatment for pulmonary tuberculosis (TB). After developing sensory seizures he was restarted on anti-TB drugs when a brain MRI showed a 4.3 cm left parietal enhancing lesion with extensive edema.
View Article and Find Full Text PDFDural tear repair surgery comparative analysis: a stitch in time saves nine.
Eur Spine J
March 2022
Department of Neurosurgery, Southampton General Hospital, Southampton, UK.
Purpose: A dural tear is a common iatrogenic complication of spinal surgery associated with a several post-operative adverse events. Despite their common occurrence, guidelines on how best to repair the defect remain unclear. This study uses five post-operative outcomes to the compare repair methods used to treat 106 dural tears to determine which method is clinically favourable.
View Article and Find Full Text PDFPerformance evaluation of bilayer oxidized regenerated cellulose/poly ε-caprolactone knitted fabric-reinforced composites for dural substitution.
Proc Inst Mech Eng H
August 2020
Biofunctional Materials and Devices Research Group, National Metal and Materials Technology Center (MTEC), Pathum Thani, Thailand.
Ideally, alloplastic dural substitute should have functional properties resembling human dura mater and retain a watertight closure to prevent cerebrospinal leakage. Therefore, functional properties for successful dural closure application of newly developed bilayer oxidized regenerated cellulose knitted fabric/poly ε-caprolactone knitted fabric-reinforced composites were studied and compared with human cadaveric dura mater and three commercial dural substitutes including two collagen matrices and one synthetic poly-L-lactide patch. It was found that oxidized regenerated cellulose knitted fabric/poly ε-caprolactone knitted fabric-reinforced composites uniquely contained a bilayer structure consisting of micropores distributed within the relatively dense microstructure.
View Article and Find Full Text PDFUnexpected Intradural Lumbar Disk Herniation Found During Transforaminal Endoscopic Surgery.
World Neurosurg
February 2020
Department of Neurosurgery, Chonnam National University Medical School & Research Institute of Medical Sciences, Gwangju, Korea. Electronic address:
Background: Intradural disk herniation (IDH) is defined as the displacement of the intervertebral disk nucleus pulposus into the dural sac. In this lumbar lesion, the affected level differs from that of a traditional extradural herniation: 55% of cases occur at the level of L4-5, 16% at L3-4, and 10% at L5-S1. Upper lumbar IDH is extremely rare.
View Article and Find Full Text PDFPreparation and characterization of a novel acellular swim bladder as dura mater substitute.
Neurol Res
March 2019
a Qingdao Chunghao Tissue Engineering Co,LTD , Qingdao , Shandong Province , China.
Objectives: This paper aimed to develop a novel dura mater substitute made from swim bladders.
Methods: The swim bladders were decellularized by diverse methods. The physical structure, residual DNA amount, mechanical properties and hemolysis rate were tested.
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