South Clin Ist Euras. 2017; 28(1): 71-73 | DOI: 10.14744/scie.2017.33154

Medpor Bone Implant Mimicking Postoperative Epidural Hematoma

Utku Adilay¹, Bülent Güçlü², Murat Göksel³, Semih Keskil^4
1Department of Neurosurgery, Balýkesir University Faculty of Medicine, Balýkesir, Turkey
²Department of Neurosurgery, Kartal Dr. Lütfi Kýrdar Training and Research Hospital, Ýstanbul, Turkey
³Department of Neurosurgery, Yüksek Ýhtisas Training and Research Hospital, Bursa, Turkey
⁴Department of Neurosurgery, Kýrýkkkale University Faculty of Medicine, Kýrýkkale, Turkey

Presently described is case in which early postoperative cranial computed tomography (CT) image demonstrated hyperdense epidural mass adjacent to microporous high-density polyethylene implant (Medpor; Stryker, Kalamazoo, MI, USA) that strongly mimicked epidural hematoma. Another cranial CT image obtained 24 hours after operation indicated that epidural mass had resolved. This case is the first in the English-language literature of mock epidural hematoma related to cranial reconstruction with Medpor.

Keywords: Bone implant, epidural hematoma, Medpor, polyethylene.

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Operasyon Sonrasý Epidural Hematomu Taklit Eden Medpor Kemik Ýmplant

Utku Adilay¹, Bülent Güçlü², Murat Göksel³, Semih Keskil^4
1Balýkesir Üniversitesi Týp Fakültesi, Nöroþirurji AnaBilim Dalý, Balýkesir, Türkiye
²Dr.Lütfi Kýrdar Kartal Eðitim ve Araþtýrma Hastanesi, Nöroþirurji Kliniði, Ýstanbul, Türkiye
³Yüksek Ýhtisas Eðitim ve Araþtýrma Hastanesi, Nöroþirurji Kliniði, Bursa, Türkiye
⁴Kýrýkkale Üniversitesi Týp Fakültesi, Nöroþirurji Ana Bilim Dalý, Kýrýkkale, Türkiye

Erken ameliyat sonrasý rutin kraniyal bilgisayarlý tomografi (BT) görüntülerinde belirgin þekilde epidural hematomu taklit eden ve 24 saat sonraki kraniyal BT görüntülerinde epidural kitle görünümünün kaybolduðunun gözlendiði, gözenekli yüksek yoðunluklu polietilen kemik implantýna (Medpor; Stryker, Kalamazoo, MI, USA) komþu hiperdens epidural bir kitleyi sunuyoruz. Bu olgu Ýngilizce literatürde Medpor ile yapýlan kraniyal rekonstrüksiyonda epidural hematomu taklit eden ilk olgudur.

Anahtar Kelimeler: Epidural hematom, kemik implant, Medpor, polietilen.

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