脑室炎
医学
脑积水
外科
脑室造瘘术
内镜第三脑室造瘘术
室外引流
作者
Guowen Qin,Yufeng Liang,Kailun Xu,Peng Xu,J. Ye,Xihe Tang,Shengyong Lan
出处
期刊:Neurochirurgie
[Elsevier]
日期:2020-04-01
卷期号:66 (2): 127-132
被引量:7
标识
DOI:10.1016/j.neuchi.2019.12.005
摘要
Ventriculitis, one of the difficulties in neurosurgical treatment, is a significant cause of death and morbidity in patients with hydrocephalus. Neuroendoscopy is widely used in the treatment of non-communicable hydrocephalus. The advantages of neuroendoscopy may play a decisive role in the treatment of ventriculitis.We report a 34-year-old male patient with refractory fever and rapid progressive disturbance of consciousness due to ventriculitis caused by intraventricle rupture in a left colliculus abscess. He received intravenous (IV) antibiotics and saline neuroendoscopic lavage (NEL) combined with septostomy and endoscopic third ventriculostomy leading to rapid recovery and remission of symptoms. We also reviewed the use of NEL for ventriculitis in PubMed from 1970 to January 20, 2019.In our review, 93 cases (including the present report) were treated with NEL; 91 cases of infection subsided, and 7 patients died.NEL may be an effective method for the treatment of ventriculitis.
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