scholarly journals Use of Integra dermal substitute to prevent implantable device extrusion in an Olympic athlete

2018 ◽  
pp. bcr-2018-226181
Author(s):  
Felicity Page ◽  
Krupali Patel ◽  
Wayne Jaffe

We present a challenging case of imminent metallic implant extrusion in a Paralympic athlete managed with a single-stage procedure using ‘Integra’ dermal substitute. The patient had hereditary spastic paraparesis, for which a baclofen pump delivering intrathecal medication was vital in the management of his condition. The device had been most recently implanted into the thigh after previous complications. Integra provided robust soft-tissue coverage over the implanted baclofen pump in the thigh. Different operative management strategies were considered but the use of Integra was felt to offer the least morbidity and a quick recovery. The patient was able to successfully compete in a Paralympic canoeing qualifying event the week following surgery and achieve medal success. To the authors’ knowledge, this is first case in which Integra has been used in such circumstances.

2006 ◽  
Vol 13 (8) ◽  
pp. 874-879 ◽  
Author(s):  
P. McMonagle ◽  
M. Hutchinson ◽  
B. Lawlor

2014 ◽  
Vol 262 (2) ◽  
pp. 476-478 ◽  
Author(s):  
Marina Scarlato ◽  
Arturo Nuara ◽  
Simonetta Gerevini ◽  
Sara Benedetti ◽  
Paolo Rossi ◽  
...  

2004 ◽  
Vol 19 (6) ◽  
pp. 641-648 ◽  
Author(s):  
Anthony P. Nicholas ◽  
Elizabeth O'Hearn ◽  
Susan E. Holmes ◽  
Dung-Tsa Chen ◽  
Russell L. Margolis

Author(s):  
Simon Schieferdecker ◽  
Stefan Hunsche ◽  
Faycal El Majdoub ◽  
Mohammad Maarouf

AbstractIn this case report, the authors describe the first case of a glioependymal cyst of the brainstem managed by robot-assisted, stereotactic, cysto-ventricular shunting. Glioependymal cysts are rare congenital cystic lesions that are thought to form by displacement of ependymal cells during the embryonal period. Glioependymal cysts have been reported in a variety of different locations within the central nervous system. However, glioependymal cysts of the brainstem have only been described once before. Here, we report the case of a 53-year-old man who was referred to our department due to hemiparesis, hemihypesthesia, and hemidysesthesia, as well as facial and abducens nerve palsy. A large pontine glioependymal cyst was confirmed via magnetic resonance imaging (MRI) scans. The cyst was subsequently decompressed by connecting the cyst with the fourth ventricle via robot-assisted stereotactic shunt placement. In the postoperative course, the patient made a quick recovery and did not report any permanent neurologic deficits.


Neurology ◽  
2000 ◽  
Vol 54 (7) ◽  
pp. 1510-1517 ◽  
Author(s):  
P. C. Byrne ◽  
P. Mc Monagle ◽  
S. Webb ◽  
B. Fitzgerald ◽  
N. A. Parfrey ◽  
...  

1993 ◽  
Vol 95 (2) ◽  
pp. 125-129 ◽  
Author(s):  
R.P.M. Bruyn ◽  
J. van Deutekom ◽  
R.R. Frants ◽  
G.W. Padberg

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