Postoperative Cyst Formation after Endoscopic Hematoma Removal for Intracerebral Hemorrhage using Locally Absorbed FloSeal<sup>®</sup> Thrombin Hemostatic Matrix : Case Presentation

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  • Ozaki Shota
    Department of Neurosurgery, Center Hospital of the National Center for Global Health and Medicine
  • Inoue Masato
    Department of Neurosurgery, Center Hospital of the National Center for Global Health and Medicine
  • Sakakura Yuya
    Department of Neurosurgery, Center Hospital of the National Center for Global Health and Medicine
  • Tamai Yuta
    Department of Neurosurgery, Center Hospital of the National Center for Global Health and Medicine
  • Hara Tetsuo
    Department of Neurosurgery, Center Hospital of the National Center for Global Health and Medicine

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  • ヒトトロンビン含有ゼラチン使用吸収性局所止血材を用いた脳内出血に対する内視鏡下血腫除去術後に囊胞性病変が出現した1例

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<p>  In the surgical treatment of hypertensive intracerebral hemorrhage, endoscopic surgery is a single-perforation procedure that is less invasive, shorter, and safer compared with conventional craniotomy. However, the area that can be manipulated within the operative field is limited, which may lead to inadequate hemostasis and cause posterior bleeding. FloSeal® (Baxter), a gelatinous hemostatic agent containing human thrombin, is an effective local hemostatic agent that has a low reported rate of complications. Here we describe a case of intracerebral cyst formation following endoscopic hematoma removal using FloSeal®. We suspected that placement of gelatinous material in the cystic component of the hematoma may have caused an inflammatory reaction in the cavity. FloSeal® material should be washed, which is presumably the cause of the inflammatory reaction thoroughly.</p>

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