{"id":"1fafde08-0e57-4d6e-b272-6c4e43dc3480","slug":"acute-myelopathy-caused-by-granuloma-formation-secondary-to-gelatin-sponge-a-case-report-of-a-rare-complication","title":"Acute myelopathy caused by granuloma formation secondary to gelatin sponge: A case report of a rare complication","authors":["Hector R. Martinez","Oscar Gutierrez-Trevino","Daniela Gomez-Guerra","Cristopher J. Nivela-Dueñas","Francisco A. Rodriguez-Leal","Jose A. Figueroa-Sanchez"],"abstract":"Background: Gelatin-based hemostatic agents are widely used in neurosurgery due to their effectiveness and general biocompatibility. However, rare adverse events such as foreign body granuloma (FBG) formation can occur. Case Description: Here, we report the case of a 52-year-old male who developed progressive neurological symptoms compatible with myelopathy following cervical decompression surgery in which Gelfoam® was applied. A FBG was found on imaging and confirmed following surgical excision. Conclusion: This case highlights the importance of including FBG in the differential diagnosis of postoperative neurological deterioration whenever gelatin-based hemostatic agents are used.","thumbnailUrl":"https://sni-digital-videos.s3.amazonaws.com/articles/1fafde08-0e57-4d6e-b272-6c4e43dc3480/featured/hero-1781558104104.png","publishDate":"2025-12-19T00:00:00.000Z","doi":"10.25259/SNI_1054_2025","categories":["General Neurosurgery","Case Report"],"fullTextUrl":"https://surgicalneurologyint.com/wp-content/uploads/2025/12/14158/SNI-16-543.pdf"}