Dear Editor,
We appreciate the interest of Drs. Akhaddar and Turgut in our recent manuscript published in this journal [2]. Since acceptance of our manuscript, they have communicated a systematic review on foreign body granulomas following cranial surgery in World Neurosurgery [1]. We wish to congratulate them for their thoughtful and comprehensive analysis. It is important to attract the attention to this thus far largely neglected but clinically significant issue.
In our manuscript, we concentrated on foreign body granulomas after foreign body material was left intentionally (except Tefloma [3]). As Drs. Akhaddar and Turgut point out, the problem of a material left “unintentionally” is most likely underreported and we assume there is an unknown dark figure [4].
We agree with the authors that a diagnosis of intracranial foreign body granuloma can definitely be made only after histopathological examination. In addition, however, a detailed history and clinical examination are necessary to make a correct decision in the management of such entities (surgery vs. wait and see).
Neurosurgeons must be aware of the occurrence of foreign body granuloma. In particular, it becomes evident that this is a well treatable condition with usually good outcome.
References
Akhaddar A, Turgut AT, Turgut M (2018) Foreign body granuloma following cranial surgery: a systematic review of published cases. World Neurosurg. https://doi.org/10.1016/j.wneu.2018.09.143
Al-Afif S, Hatipoglu Majernik G, Hermann EJ, Esmaeilzadeh M, Hartmann C, Krauss JK (2018) Intracranial foreign material granulomas after cranial surgery. Acta Neurochir 160(11):2069–2075
Capelle H-H, Brandis A, Tschan CA, Krauss JK (2010) Treatment of recurrent trigeminal neuralgia due to Teflon granuloma. J Headache Pain 11(4):339–344
Peloquin P, Vannemreddy PSSV, Watkins LM, Byrne RW (2012) Intracranial cotton ball gossypiboma mimicking recurrent meningioma: report of a case with literature review for intentional and unintentional foreign body granulomas. Clin Neurol Neurosurg 114(7):1039–1041
Author information
Authors and Affiliations
Corresponding author
Additional information
The original version of this article was revised. Article title is corrected.
This article is part of the Topical Collection on Brain Tumors
Rights and permissions
About this article
Cite this article
Al-Afif, S., Krauss, J.K. Intracranial foreign material granuloma after neurosurgical procedures. Acta Neurochir 161, 15 (2019). https://doi.org/10.1007/s00701-018-3751-1
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00701-018-3751-1