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Minim Invasive Neurosurg 2011; 54(3): 132-134
DOI: 10.1055/s-0031-1279717
Case Report

© Georg Thieme Verlag KG Stuttgart · New York

FloSeal Hemostatic Matrix Use for Intraventricular Hemorrhage during a Neuroendoscopic Procedure

A. Reeves1 , M. Muhonen1 , W. Loudon1
  • 1Department of Neurosurgery, University of California Irvine, Orange, California, USA
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Publication History

Publication Date:
23 August 2011 (online)

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Abstract

Introduction: Neuroendoscopy is a rapidly growing field, but the risk of intraventricular hemorrhage is signficant. There are few novel ways of obtaining hemostasis for major hemorrhage described in the literature.

Patient: A 5-year-old boy with a history of intraventricular hemorrhage and multi-cystic hydrocephalus presented with worsening brainstem compression from dilation of a 4th ventricle cyst.

Results: During endoscopic surgery to fenestrate the cyst, arterial hemorrhage was emergently controlled with the hemostatic agent, FloSeal.

Conclusion: To the best of the authors’ knowledge, this is the first report of a patient with intraoperative intraventricular hemorrhage controlled with FloSeal.

Key words

cyst fenestration - endoscopy - hydrocephalus - intraventricular hemorrhage - FloSeal

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Correspondence

A. Reeves

Department of Neurosurgery

University of California Irvine

101 The City Drive South

Orange

California 92868

USA

Phone: +1/714/456 6966

Fax: +1/714/456 8212

Email: alreeves@uci.edu