Neuroendoscopic Lavage in Hydrocephalus with Ventricular Empyema: A Case Report
Introduction: Ventricular empyema, or pyogenic ventriculitis, is a severe condition characterized by pus accumulation in the cerebral ventricles due to intracranial infection, often caused by Gram-negative bacteria. Early diagnosis and treatment are crucial to prevent fatal neurological damage....
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Knowledge E
2024-11-01
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| Series: | Dubai Medical Journal |
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| Online Access: | https://www.knepublishing.com/index.php/DMJ/article/view/17676 |
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| author | Farhad Bal’afif Tommy A Nazwar Donny W Wardhana Oei Thomas Sanjaya Keneysha Naomi Mataniari Farahiyah Sharfina Saputri Liliana Dewi Hisanifa Arifani Ni Nyoman Triana Mustofa |
| author_facet | Farhad Bal’afif Tommy A Nazwar Donny W Wardhana Oei Thomas Sanjaya Keneysha Naomi Mataniari Farahiyah Sharfina Saputri Liliana Dewi Hisanifa Arifani Ni Nyoman Triana Mustofa |
| author_sort | Farhad Bal’afif |
| collection | DOAJ |
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Introduction: Ventricular empyema, or pyogenic ventriculitis, is a severe condition characterized by pus accumulation in the cerebral ventricles due to intracranial infection, often caused by Gram-negative bacteria. Early diagnosis and treatment are crucial to prevent fatal neurological damage.
Case Report: A 3-month-old infant with severe hydrocephalus and ventricular empyema was admitted with symptoms of seizures, fever, and diarrhea. Initial examination showed decreased consciousness and significant leukocytosis. CT scans confirmed severe hydrocephalus and ventricular empyema. Despite resistance to standard antibiotics, neuroendoscopic lavage (NEL) and bilateral external ventricular drainage (EVD) were performed, leading to substantial improvement.
Discussion: The patient’s condition improved significantly post-surgery, with a decrease in leukocyte count and resolution of empyema as shown in follow-up imaging. This case demonstrates the efficacy of NEL in treating complex pediatric neurosurgical conditions.
Conclusion: NEL proves to be an effective treatment for intraventricular empyema in pediatric patients, improving clinical outcomes and reducing hospital stays. The success of this approach emphasizes the need for tailored neurosurgical interventions and regular follow-ups to ensure patient recovery and prevent recurrence.
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| format | Article |
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| institution | OA Journals |
| issn | 2571-726X |
| language | English |
| publishDate | 2024-11-01 |
| publisher | Knowledge E |
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| series | Dubai Medical Journal |
| spelling | doaj-art-25c84cf3166f459e9292eef5d79127932025-08-20T02:23:35ZengKnowledge EDubai Medical Journal2571-726X2024-11-017210.18502/dmj.v7i2.17676Neuroendoscopic Lavage in Hydrocephalus with Ventricular Empyema: A Case ReportFarhad Bal’afif0Tommy A Nazwar1Donny W Wardhana2Oei Thomas Sanjaya3Keneysha Naomi Mataniari4Farahiyah Sharfina Saputri5Liliana Dewi6Hisanifa Arifani7Ni Nyoman Triana8Mustofa 9Neurosurgery, Department of Surgery, Faculty of Medicine, Universitas Brawijaya / Dr. Saiful Anwar General Hospital, Malang, East JavaNeurosurgery, Department of Surgery, Faculty of Medicine, Universitas Brawijaya / Dr. Saiful Anwar General Hospital, Malang, East JavaNeurosurgery, Department of Surgery, Faculty of Medicine, Universitas Brawijaya / Dr. Saiful Anwar General Hospital, Malang, East JavaSpecialist Doctor Education Program, Department of Surgery Brawijaya University Malang Indonesia, Universitas Brawijaya / Dr. Saiful Anwar General Hospital, Malang, East JavaMedicine Bachelor Study Program, Faculty of Medicine, Brawijaya University, Malang, East JavaMedicine Bachelor Study Program, Faculty of Medicine, Brawijaya University, Malang, East JavaMedicine Bachelor Study Program, Faculty of Medicine, Brawijaya University, Malang, East JavaMedicine Bachelor Study Program, Faculty of Medicine, Brawijaya University, Malang, East JavaMedicine Bachelor Study Program, Faculty of Medicine, Brawijaya University, Malang, East JavaNeurosurgery, Department of Surgery, Faculty of Medicine, Universitas Brawijaya / Dr. Saiful Anwar General Hospital, Malang, East Java Introduction: Ventricular empyema, or pyogenic ventriculitis, is a severe condition characterized by pus accumulation in the cerebral ventricles due to intracranial infection, often caused by Gram-negative bacteria. Early diagnosis and treatment are crucial to prevent fatal neurological damage. Case Report: A 3-month-old infant with severe hydrocephalus and ventricular empyema was admitted with symptoms of seizures, fever, and diarrhea. Initial examination showed decreased consciousness and significant leukocytosis. CT scans confirmed severe hydrocephalus and ventricular empyema. Despite resistance to standard antibiotics, neuroendoscopic lavage (NEL) and bilateral external ventricular drainage (EVD) were performed, leading to substantial improvement. Discussion: The patient’s condition improved significantly post-surgery, with a decrease in leukocyte count and resolution of empyema as shown in follow-up imaging. This case demonstrates the efficacy of NEL in treating complex pediatric neurosurgical conditions. Conclusion: NEL proves to be an effective treatment for intraventricular empyema in pediatric patients, improving clinical outcomes and reducing hospital stays. The success of this approach emphasizes the need for tailored neurosurgical interventions and regular follow-ups to ensure patient recovery and prevent recurrence. https://www.knepublishing.com/index.php/DMJ/article/view/17676ventricular empyemaneuroendoscopic lavage (NEL)hydrocephaluspediatric neurosurgerygram-negative bacteria |
| spellingShingle | Farhad Bal’afif Tommy A Nazwar Donny W Wardhana Oei Thomas Sanjaya Keneysha Naomi Mataniari Farahiyah Sharfina Saputri Liliana Dewi Hisanifa Arifani Ni Nyoman Triana Mustofa Neuroendoscopic Lavage in Hydrocephalus with Ventricular Empyema: A Case Report Dubai Medical Journal ventricular empyema neuroendoscopic lavage (NEL) hydrocephalus pediatric neurosurgery gram-negative bacteria |
| title | Neuroendoscopic Lavage in Hydrocephalus with Ventricular Empyema: A Case Report |
| title_full | Neuroendoscopic Lavage in Hydrocephalus with Ventricular Empyema: A Case Report |
| title_fullStr | Neuroendoscopic Lavage in Hydrocephalus with Ventricular Empyema: A Case Report |
| title_full_unstemmed | Neuroendoscopic Lavage in Hydrocephalus with Ventricular Empyema: A Case Report |
| title_short | Neuroendoscopic Lavage in Hydrocephalus with Ventricular Empyema: A Case Report |
| title_sort | neuroendoscopic lavage in hydrocephalus with ventricular empyema a case report |
| topic | ventricular empyema neuroendoscopic lavage (NEL) hydrocephalus pediatric neurosurgery gram-negative bacteria |
| url | https://www.knepublishing.com/index.php/DMJ/article/view/17676 |
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