A retrospective chart review of all patients who had EVDs placed from January 2010 through December 2015 at home institution was performed to assess for ventriculitis
for this study was defined as bacterial organism identified from cerebrospinal fluid (CSF) on 2 of 2 cultures, or gram stain with temperature >38C, and CSF pleocytosis (>100WBC/uL), elevated protein (>50mg/dL), and decreased CSF glucose (<40% serum glucose).
A brain CT scan showed purulent fluid, edema with subsequent mass effect on the frontal horn of the lateral ventricles and a small suspicious communication with the left frontal horn and abscess collection in the left lateral ventricle with mild enhancement of the ventricular outlines suggestive of ventriculitis
Endoscopic lavage for antibiotic unresponsive severe Acinetobacter baumanii ventriculitis
: An unexplored treatment option.
Fischberget al., "Retrospective analysis of ventriculitis
in external ventricular drains," Neurology Research International, vol.
Caption: Figure 1: Ventricular hypersignal in cranial MRI (FLAIR), suggestive of ventriculitis
Here, the implantation of an external ventricular drainage carries not only the risk of ventriculitis
but it also could result in rebleeding.
(2) They did a prospective study of 78 patients with a ventriculostomy catheter in place to see whether the duration of catheter placement was a factor in the development of bacterial ventriculitis
. Significantly higher infection rates were identified if the catheter remained in place for longer than 11 days or if the patient had intracranial surgery or received steroids.
(10.) Veena Kumari HB, Nagarathna S, Chandramauli BA, Umamamaheshwara Rav GS, Chandramauchi A(2008) Investigation of an outbreak of device-related postoperative ventriculitis
: a lesson learnt.
The presence of ventriculitis
is seen as enhancement of the ependyma.
Pacientes segun complicaciones Complicaciones Valores Preoperatorias Hidrocefalia aguda: 3 (17,6%) Hematoma intraparenquimatoso: 2 (11,8%) Resangramiento: 2 (11,8%) Resangramiento con hematoma intra- parenquimatoso: 2 (11,8%) Transoperatorias Edema cerebral: 3 (17,6 %) Rotura aneurismatica: 3 (17,6%) Postoperatorias Neumonia asociada a la ventilacion: 8 (47,1%) Vasoespasmo sintomatico: 6 (35,3%) Ventriculitis
: 1 (5,9%) Figura 1.
Silvaggio, "ESBL Escherichia coli ventriculitis
after aneurysm clipping: a rare and difficult therapeutic challenge," Case Reports in Neurological Medicine, vol.
The lesions often lack inflammation that might hint at the infectious etiology of the small-vessel vasculopathy. Some AIDS patients develop overwhelming ventriculitis
that may be radiographically demonstrable (Figure 12, A), with innumerable Cowdry A viral inclusions in the ependymal cells lining the ventricles[47, 57] (Figure 12, B).