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Indexed/Abstracted in: EMBASE, Scopus, Emerging Sources Citation Index
Online ISSN 1827-1782
Yamamoto J., Kitagawa T., Ueta K., Miyaoka R., Umemura T., Nishizawa S.
Department of Neurosurgery, University of Occupational and Environmental Health, Kitakyushu, Japan
A 67-year-old female with recurrent glioblastoma received surgery, the lateral ventricle (LV) was widely opened and the anterior cerebral artery (ACA) was exposed. Using a gelatin (cellulose) sheet with fibrin glue, the opening of the LV was completely closed, the ACA was covered, and a carmustine wafer was implanted into the resection cavity. Follow-up MRI showed no adverse effects. In cases with a wide opening of the ventricular system and exposure of the large cerebral vessels, complete closure of ventricular system, and the covering of vessels is essential before the use of a carmustine wafer to avoid unexpected fatal complications.