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Cauda equina syndrome caused by retained hemostatic agents.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Bessette, Matthew C. Mesfin, Addisu
Description	Country affiliation: United States Author Affiliation: Bessette MC ( Department of Orthopaedics and Rehabilitation, University of Rochester Medical Center, 601 Elmwood Ave, Box 665, Rochester, NY 14642, USA.); Mesfin A ( Department of Orthopaedics and Rehabilitation, University of Rochester Medical Center, 601 Elmwood Ave, Box 665, Rochester, NY 14642, USA. Electronic address: addisu_mesfin@urmc.rochester.edu.)
Abstract	We report a patient with cauda equina syndrome secondary to retained Surgicel (Ethicon: Johnson & Johnson Medical, Piscataway, NJ, USA) and Gelfoam (Pfizer, New York, NY, USA). Retained hemostatic agents such as these used in spinal surgery can create space occupying lesions that lead to neurological compromise. There are few reports of neurologic symptoms caused by hemostatic devices used in surgery despite their widespread use. Our patient had routine lumbar microdiscectomy with preexisting motor deficits, and the acute postoperative course was complicated by a decline in neurologic function. The findings at the time of reoperation confirmed compression due to Gelfoam and Surgicel in the spinal canal, and subjective and objective symptoms partially improved after reoperation.
File Format	HTM / HTML
ISSN	09675868
Issue Number	9
Volume Number	22
e-ISSN	15322653
Journal	Journal of Clinical Neuroscience
Language	English
Publisher	Elsevier
Publisher Date	2015-09-01
Publisher Place	Great Britain (UK)
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Medicine Cellulose, Oxidized Adverse Effects Hemostatics Polyradiculopathy Etiology Diskectomy Methods Humans Lumbar Vertebrae Surgery Reoperation Case Reports Journal Article
Content Type	Text
Resource Type	Case study Article
Subject	Neurology Physiology (medical) Neurology (clinical) Surgery

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