PMID: 8948607Dec 1, 1996Paper

Lipoid meningitis due to aseptic necrosis of a free fat graft placed during neurotologic surgery

The Laryngoscope
P H Hwang, R K Jackler

Abstract

We present two unusual cases of aseptic postoperative lipoid meningitis resulting from necrosis of a free fat graft placed into a skull base craniotomy defect. Two patients underwent translabyrinthine resection of acoustic neuroma and received abdominal fat grafts to ablate the surgical defect. Both patients presented postoperatively with persistent cerebrospinal fluid (CSF) wound leak and severe headache. Computed tomography demonstrated hydrocephalus and widely dispersed intracranial fat droplets throughout the CSF circulation. Both patients ultimately required CSF diversion for management of persistent communicating hydrocephalus. The clinical and radiographic correlates of lipocephalus and lipoid meningitis are presented, and a review of free fat graft physiology is discussed.

References

Mar 1, 1978·Spine·M DujovnyA E Rosenbaum
Mar 1, 1977·AJR. American Journal of Roentgenology·K R Maravilla
Feb 1, 1978·Neurology·J F Schwartz, J D Balentine
Apr 1, 1990·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·J BartynskiT D Wang
Jan 1, 1987·Acta neurochirurgica·G C Blomstedt
Nov 1, 1987·Computerized Radiology : Official Journal of the Computerized Tomography Society·T F Stephenson, R M Spitzer
Jan 1, 1981·Connective Tissue Research·M C SaundersF H Mayfield
Apr 1, 1960·British Journal of Plastic Surgery·B ROSSATTI

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Citations

Oct 31, 2006·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Yaşar Cokkeser, Atilla Ilhan
Mar 18, 2000·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·J C RicaurteW Mandell
Sep 4, 2012·Neurosurgical Focus·Daniel T Ginat, Robert L Martuza
Aug 27, 2004·Neurosurgical Focus·Ricardo RaminaGuilherme Borges
Mar 2, 2011·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Erika Ann WoodsonMarlan Rex Hansen
Jun 28, 2011·World Neurosurgery·Ahmed Nageeb M TahaOssama Al-Mefty
Jul 6, 2010·Otolaryngologic Clinics of North America·Esther Kim, Paul T Russell
Oct 20, 2005·Clinical Otolaryngology : Official Journal of ENT-UK ; Official Journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery·J RayR M Irving
Mar 25, 2016·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Cezar José MizrahiSamuel Moscovici
Aug 9, 2016·Surgical Neurology International·Hambra Di VitantonioRenato J Galzio
Mar 30, 2005·Neurosurgery·Ricardo RaminaDonizeti C Honorato
Jul 19, 2017·The Journal of Laryngology and Otology·G M OakleyR J Harvey
Jul 14, 2010·The Veterinary Record·D SzaboS Rodenas
Feb 23, 2021·Journal of Neurological Surgery. Part A, Central European Neurosurgery·Manolis PolemikosJoachim K Krauss

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