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Neuroendoscopic aspiration and lavage of intraventricular empyema following shunt infection in infants
- Source :
- The Pan African Medical Journal
- Publication Year :
- 2018
- Publisher :
- The African Field Epidemiology Network, 2018.
-
Abstract
- Bacterial ventriculitis is one of the most common and serious complications of shunt placement. Shunt infection has varied management and is difficult to treat neurosurgically. We report a case of intraventricular empyema due to shunt infection. Standard management was failed for this case and reaccumulation of pus in the both ventricles. Neuroendoscopic surgery with intraventricular lavage and aspiration using cannula nasogastric tube (NGT) through a single burr hole, has successfully decreased the accumulation of intraventricular empyema. After lavage and aspiration, antibiotic can be distributed effectively to the affected area. Follow up imaging and cerebrospinal fluid (CSF) culture shown a good result and shorter length of stay in the hospital. Neuroendoscopy appears effective and safe for the management of bacterial ventriculitis due to shunt infection in infant. The strategy described in this report might be useful to treat intraventricular empyema.
- Subjects :
- Shunt placement
medicine.medical_specialty
shunt infection
business.industry
Case Report
General Medicine
medicine.disease
Cannula
Shunt infection
infant
Empyema
intraventricular empyema
Surgery
Both ventricles
Neuroendoscopic
03 medical and health sciences
0302 clinical medicine
Cerebrospinal fluid
Neuroendoscopy
030220 oncology & carcinogenesis
medicine
lavage
Bacterial ventriculitis
business
030217 neurology & neurosurgery
Subjects
Details
- Language :
- English
- ISSN :
- 19378688
- Volume :
- 31
- Database :
- OpenAIRE
- Journal :
- The Pan African Medical Journal
- Accession number :
- edsair.doi.dedup.....03fd93d9ba110b803d8201c31d27c392