Bilginer Burçak, Yavuz Kivilcim, Agayev Kamran, Akbay Atilla, Ziyal Ibrahim M
Department of Neurosurgery, School of Medicine, Hacettepe University, Ankara, Turkey.
Kobe J Med Sci. 2007;53(1-2):43-7.
Hemostatic agents, routinely used in neurosurgery to achieve intraoperative hemostasis may cause foreign body reaction. These may produce clinically symptomatic and radiologically apparent mass lesions. It should be kept in mind that retained cotton or rayon materials may mimic the appearance of a tumor or an abscess on MRI scan, especially at sides of previous craniotomies. Here we report a case of intracranial foreign body granuloma which occurred due to remained cottonoid after removal of a parasagittal meningioma. This entity was also documented by MR imaging technics included diffusion weighted, flair and ADC mapping.
神经外科手术中常规用于实现术中止血的止血剂可能会引起异物反应。这些反应可能会产生具有临床症状且在影像学上明显的肿块病变。应当牢记,残留的棉或人造纤维材料在MRI扫描上可能会模仿肿瘤或脓肿的表现,尤其是在既往开颅手术部位。在此,我们报告一例因矢状窦旁脑膜瘤切除术后残留棉片而发生的颅内异物肉芽肿病例。该病变也通过包括扩散加权成像、液体衰减反转恢复序列和表观扩散系数图在内的磁共振成像技术得以记录。