Epidural adhesion formation is believed to be a central governing factor in the prevalence of pain after spinal surgery and is regarded as being the primary instigator of neural tethering, leading to complications during revision surgery. In this study, we assess the effectiveness and safety of fibrin sealant supplemented with tributyrin, termed Medicated Adhesion Barrier (MAB), as an alternati...

Twenty patients were enrolled in a prospective study to evaluate MR imaging in the differentiation of epidural scar and herniated disk material. Fourteen patients had surgical verification of imaging findings. In 12 (86%) of these patients, the MR interpretations fully agreed with the observations at surgery. Careful integration of the findings on sagittal and axial T1-weighted images with more...

BACKGROUND To limit epidural fibrosis and prevent scar formation/nerve tethering that may contribute to chronic postoperative pain; some surgeons have utilized epidural autologous fat grafts following lumbar microdiscectomy. METHODS We investigated the correlation between post-microdiscectomy epidural scarring [including select magnetic resonance imaging (MRI) studies] and clinical outcomes i...

The diskal cyst is a relatively new clinical entity and develops clinical symptoms of a unilateral single nerve root lesion. Although many cases of diskal cyst have been reported, the pathogenesis of diskal cyst remains unclear, and several theories regarding the pathogenesis have been proposed. This article presents 2 cases of diskal cyst communicating with an adjacent herniated disk. Magnetic...

Evaluation of Topical Application of Polysaccharide Hemostat and Oxidized Regenerated Cellulose on Epidural Fibrosis in Rats Ahmet Gurhan GURCAY, Atilla KAZANCI, Oktay GURCAN, Ismail BOZKURT, Evrim ONDER, Faruk ALTINEL, Murad BAVBEK Ankara Ataturk Training and Research Hospital, Neurosurgery, Ankara, Turkey Diskapi Yildirim Beyazit Training and Research Hospital, Pathology, Ankara, Turkey Baske...

Excessive cicatrisation or epidural fibrosis in the operative field is an inappropriate event occasionally occurring after neurosurgical procedures (i.e., spine procedures and craniotomies). This excessive process may disturb the postoperative course and render reoperations more difficult and risky. The literature describes this phenomenon as accompanying up to 20% of neurosurgical procedures. ...

A 72-year-old female, retired trader, receiving multidisciplinary care for dilated cardiomyopathy and congestive cardiac failure, with massive cardiomegaly, endomyocardial fibrosis, pericardial effusion, atrial fibrillation, ascites umbilical hernia was scheduled elective herniorrhaphy at the University of Port Harcourt Teaching Hospital (UPTH). She successfully had surgery under lumbar epidura...

BACKGROUND Inflammatory pseudotumor is a rare clinical condition that can be related to immunoglobulin G4 disease. Only a few cases of spinal inflammatory pseudotumors have been reported in the literature and an association with immunoglobulin G4 disease was not conclusive in any of them. We describe what we believe to be the first biopsy-proven case of an epidural inflammatory pseudotumor rela...