title: Muslin induced granuloma following wrapping of intracranial aneurysms: the role of infection as an additional precipitating factor. Report of two cases and review of the literature.
abstract: Two patients who developed what appeared to be a granulomatous reaction following muslin wrapping of unclipped aneurysms are reported. They presented with cranial nerve palsies and at operation were found to have an abscess around the wrapped aneurysms. In one of these two patients Staphylococcus epidemidis was isolated from the pus. This, together with further evidence from reported cases in the literature, would suggest that infection may play an additional role at least in some cases in the onset of a foreign-body granulomatous reaction seen following wrapping of aneurysms.
authors.affiliation: Department of Neurosurgery, General Infirmary, Leeds, U.K.
authors.forename: R W
authors.initials: RW
authors.lastname: Kirollos
authors.forename: A K
authors.initials: AK
authors.lastname: Tyagi
authors.forename: P V
authors.initials: PV
authors.lastname: Marks
authors.forename: P T
authors.initials: PT
authors.lastname: van Hille
mesh_terms: D001922:Brain Abscess / Q000000981:diagnostic imaging / Q000601:surgery*; D002483:Cellulose, Oxidized; D002533:Cerebral Angiography; D005260:Female; D005549:Foreign-Body Reaction / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D002532:Intracranial Aneurysm / Q000000981:diagnostic imaging / Q000601:surgery*; D008875:Middle Aged; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000601:surgery*; D012086:Reoperation; D013203:Staphylococcal Infections / Q000000981:diagnostic imaging / Q000601:surgery*; D013212:Staphylococcus epidermidis; D013526:Surgical Mesh; D014057:Tomography, X-Ray Computed
chemical_list: D002483:Cellulose, Oxidized; C013695:Surgicel