Medical management of eosinophilic meningitis following bovine graft duraplasty for Chiari malformation Type I repair

Case report

View More View Less
  • 1 Departments of Neurology and
  • | 2 Pediatrics, Washington University School of Medicine, St. Louis, Missouri
Restricted access

Purchase Now

USD  $45.00

JNS + Pediatrics - 1 year subscription bundle (Individuals Only)

USD  $505.00

JNS + Pediatrics + Spine - 1 year subscription bundle (Individuals Only)

USD  $600.00
Print or Print + Online

Eosinophilic meningitis is a known complication of duraplasty, including that using bovine tissues. Previous authors have relied on surgical removal of the graft for treatment. Authors of the present report describe a 7-year-old girl with eosinophilic meningitis following duraplasty with a bovine pericardium graft who was successfully treated using corticosteroid therapy alone.

Abbreviations used in this paper:

CBC = complete blood count; WBC = white blood cell.

JNS + Pediatrics - 1 year subscription bundle (Individuals Only)

USD  $505.00

JNS + Pediatrics + Spine - 1 year subscription bundle (Individuals Only)

USD  $600.00

Contributor Notes

Address correspondence to: Adam P. Ostendorf, M.D., Department of Neurology, Washington University School of Medicine, Box 8111, 660 S. Euclid Ave., St. Louis, MO 63110. email: ostendorfa@neuro.wustl.edu.

Please include this information when citing this paper: published online August 2, 2013; DOI: 10.3171/2013.7.PEDS13130.

  • 1

    Abla AA, , Link T, , Fusco D, , Wilson DA, & Sonntag VK: Comparison of dural grafts in Chiari decompression surgery: review of the literature. J Craniovertebr Junction Spine 1:2937, 2010

    • Search Google Scholar
    • Export Citation
  • 2

    Alleyne CH Jr, & Barrow DL: Immune response in hosts with cadaveric dural grafts. Report of two cases. J Neurosurg 81:610613, 1994

  • 3

    Anson JA, & Marchand EP: Bovine pericardium for dural grafts: clinical results in 35 patients. Neurosurgery 39:764768, 1996

  • 4

    Baharuddin A, , Go BT, , Firdaus MN, & Abdullah J: Bovine pericardium for dural graft: clinical results in 22 patients. Clin Neurol Neurosurg 104:342344, 2002

    • Search Google Scholar
    • Export Citation
  • 5

    Filippi R, , Schwarz M, , Voth D, , Reisch R, , Grunert P, & Perneczky A: Bovine pericardium for duraplasty: clinical results in 32 patients. Neurosurg Rev 24:103107, 2001

    • Search Google Scholar
    • Export Citation
  • 6

    Foreman P, , Safavi-Abbasi S, , Talley MC, , Boeckman L, & Mapstone TB: Perioperative outcomes and complications associated with allogeneic duraplasty for the management of Chiari malformations Type I in 48 pediatric patients. Clinical article. J Neurosurg Pediatr 10:142149, 2012

    • Search Google Scholar
    • Export Citation
  • 7

    Foy AB, , Giannini C, & Raffel C: Allergic reaction to a bovine dural substitute following spinal cord untethering. Case report. J Neurosurg Pediatr 1:167169, 2008

    • Search Google Scholar
    • Export Citation
  • 8

    Graeff-Teixeira C, , da Silva AC, & Yoshimura K: Update on eosinophilic meningoencephalitis and its clinical relevance. Clin Microbiol Rev 22:322348, 2009

    • Search Google Scholar
    • Export Citation
  • 9

    Lam FC, & Kasper E: Augmented autologous pericranium duraplasty in 100 posterior fossa surgeries—a retrospective case series. Neurosurgery 71:2 Suppl Operative ons302ons307, 2012

    • Search Google Scholar
    • Export Citation
  • 10

    Litvack ZN, , Lindsay RA, & Selden NR: Dura splitting decompression for Chiari I malformation in pediatric patients: clinical outcomes, healthcare costs and resource utilization. Neurosurgery 72:922929, 2013

    • Search Google Scholar
    • Export Citation
  • 11

    Meyer T, , Meyer B, , Schwarz K, & Höcht B: Immune response to xenogeneic matrix grafts used in pediatric surgery. Eur J Pediatr Surg 17:420425, 2007

    • Search Google Scholar
    • Export Citation
  • 12

    Munshi I, , Frim D, , Stine-Reyes R, , Weir BK, , Hekmatpanah J, & Brown F: Effects of posterior fossa decompression with and without duraplasty on Chiari malformation-associated hydromyelia. Neurosurgery 46:13841390, 2000

    • Search Google Scholar
    • Export Citation
  • 13

    Parízek J, , Mĕricka P, , Spacek J, , Nĕmecek S, , Eliás P, & Sercl M: Xenogeneic pericardium as a dural substitute in reconstruction of suboccipital dura mater in children. J Neurosurg 70:905909, 1989

    • Search Google Scholar
    • Export Citation
  • 14

    Parker SR, , Harris P, , Cummings TJ, , George T, , Fuchs H, & Grant G: Complications following decompression of Chiari malformation Type I in children: dural graft or sealant? Clinical article. J Neurosurg Pediatr 8:177183, 2011

    • Search Google Scholar
    • Export Citation
  • 15

    Speer DP, , Chvapil M, , Eskelson CD, & Ulreich J: Biological effects of residual glutaraldehyde in glutaraldehyde-tanned collagen biomaterials. J Biomed Mater Res 14:753764, 1980

    • Search Google Scholar
    • Export Citation
  • 16

    US Food Drug Administration: MAUDE adverse event report: Bio-vascular, Inc. Dura-Guardduarl patch (http://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfMAUDE/detail.cfm?mdrfoi__id=232872). [Accessed July 15, 2013]

    • Search Google Scholar
    • Export Citation
  • 17

    Williams LE, , Vannemreddy PS, , Watson KS, & Slavin KV: The need in dural graft suturing in Chiari I malformation decompression: a prospective, single-blind, randomized trial comparing sutured and sutureless duraplasty materials. Surg Neurol Int 4:26, 2013

    • Search Google Scholar
    • Export Citation
  • 18

    Zerris VA, , James KS, , Roberts JB, , Bell E, & Heilman CB: Repair of the dura mater with processed collagen devices. J Biomed Mater Res B Appl Biomater 83:580588, 2007

    • Search Google Scholar
    • Export Citation

Metrics

All Time Past Year Past 30 Days
Abstract Views 626 191 15
Full Text Views 142 19 1
PDF Downloads 187 18 1
EPUB Downloads 0 0 0