Muslin Granuloma Mimicking Parenchymal Hematoma in Patient with Seizures 30 Years After Aneurysm Wrapping

Mougnyan Cox; Neda I Sedora-Roman; Linda J Bagley; Omar Choudhri

doi:10.1016/j.wneu.2018.08.190

Muslin Granuloma Mimicking Parenchymal Hematoma in Patient with Seizures 30 Years After Aneurysm Wrapping

World Neurosurg. 2018 Dec:120:129-130. doi: 10.1016/j.wneu.2018.08.190. Epub 2018 Sep 3.

Authors

Mougnyan Cox¹, Neda I Sedora-Roman², Linda J Bagley³, Omar Choudhri⁴

Affiliations

¹ Division of Neuroradiology, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, USA. Electronic address: [email protected].
² Section of Interventional Neuroradiology, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, USA.
³ Division of Neuroradiology, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, USA.
⁴ Division of Neurosurgery, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, USA.

PMID: 30189309
DOI: 10.1016/j.wneu.2018.08.190

Abstract

Muslin foreign body granulomas are a known complication of muslin aneurysm wrapping and have been associated with vision loss from optochiasmatic arachnoiditis. Muslin granulomas have also been confused with abscesses due to surrounding inflammatory changes. In this clinical image, we present a unique case of a muslin granuloma mimicking an intraparenchymal hematoma.

Keywords: Hematoma; Mimicking; Muslin granuloma; Muslinoma.

Publication types

Case Reports

MeSH terms

Aged, 80 and over
Aneurysm, Ruptured / diagnostic imaging
Aneurysm, Ruptured / surgery
Diagnosis, Differential
Female
Granuloma, Foreign-Body / complications
Granuloma, Foreign-Body / diagnostic imaging*
Granuloma, Foreign-Body / surgery
Hematoma / diagnostic imaging
Humans
Intracranial Aneurysm / diagnostic imaging*
Intracranial Aneurysm / surgery
Seizures / diagnostic imaging*
Seizures / etiology
Seizures / therapy
Surgical Mesh*
Textiles