Uncommon presentations of a neurosurgical site infection: impaired wound healing with hypergranulation and crust formation

Dennis R. Buis*, Hisse Arnts, K. Mariam Slot, Myron G. Best, W. Peter Vandertop

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review


Hypergranulation and crust formation after cranial neurosurgery is rare. We report three patients with an uncommon form of hypergranulation with extensive crust formation after cranial neurosurgery, associated with a St. Aureus infection of the scalp, and propose that this is a form of pyogenic dermatitis, as is commonly seen among domestic animals with a coat of fur. It can be treated conservatively. We propose a treatment algorithm.

Original languageEnglish
JournalActa Neurochirurgica
Publication statusAccepted/In press - 2021

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