Spinal dural defects may arise in association with traumatic or neoplastic destruction, following routine spinal surgery procedures, after neurosurgical interventions requiring dural resection or for congenital reasons such as meningomyelocele, when duraplasty
has to be performed [1-3].
Dural opening was closed with duraplasty
. Hemostasis for a significant bleeding from an epidural vessel was achieved by applying fibrin glue and the operation was concluded.
One follicular thyroid carcinoma case metastasizing to the cranium was encountered in an 83year-old patient, which was operated via awake craniotomy and duraplasty
using autologous fascia lata reenforced by on-site pedicled muscle flap: technical note.
Decompressive craniectomy and expansive duraplasty
with evacuation of hypertensive intracerebral hematoma, a randomized controlled trial.
On the other hand, larger haemorrhages with rapidly deteriorating neurological status result in an increased intracranial pressure with potential compression of the brainstem and hydrocephalus; hence, immediate surgery to evacuate the hematoma and to decompress the posterior fossa via expanded suboccipital craniotomy, duraplasty
, and CSF diversion procedures is of essence [3-5].
Our surgical strategy consisted of a standard anterior cervical approach, partial exposure of the vertebral artery unilaterally, a subtotal corpectomy, durotomy, microdissection of the cyst, duraplasty
, and a two-level fusion with an iliac crest strut graft.
The DuraGen product line offers Duraplasty
Solutions meant for the repair of the dura mater, a thick membrane that surrounds the brain and spinal cord and contains the cerebrospinal fluid (CSF).
Three days later, she underwent duraplasty
and lumbar drainage.
and the application of titanium mesh (e) followed by the application of cement (f).
Early decompressive craniectomy and duraplasty
for refractory intracranial hypertension in children: Results of a pilot study.
was performed either by a periosteal patch or by synthetic material using sheets of Surgicel Nu-Knit or Neuropatch.