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  • Title: Hemorrhagic complications in association with silastic dural substitute: pediatric and adult case reports with a review of the literature.
    Author: Robertson SC, Menezes AH.
    Journal: Neurosurgery; 1997 Jan; 40(1):201-5; discussion 205-6. PubMed ID: 8971845.
    Abstract:
    OBJECTIVE AND IMPORTANCE: Delayed intracranial hemorrhage is an unusual complication associated with the use of silastic dural substitute. CLINICAL PRESENTATION: We present three patients with this complication. Two adult patients developed subdural and epidural hemorrhages 9 months and 10 years after posterior fossa surgery for Chiari malformations. The remaining patient, a 13-month-old child, is the youngest reported patient to develop an epidural hematoma 8 months after a craniosynostosis repair. INTERVENTION: The hematomas were removed with the silastic dural substitute from all three patients, and the dural defect was repaired with autologous paracervical fascia. CONCLUSION: Silastic dural grafts have an increased incidence of hemorrhage associated with their use. A slight increase in the prevalence of hemorrhagic complications with silastic dural substitute was observed in women. We report our radiographic and surgical findings, including an extensive review of the literature.
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