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Intracerebroventricular and Intravascular Injection of Viral Particles and Fluorescent Microbeads into the Neonatal Brain
Published on: July 24, 2016
Neonatal brain abscess with intracystic hemorrhage--case report
Neurologia Medico-Chirurgica
|September 1, 1989
Summary
A rare pediatric brain abscess caused by E. coli led to meningitis and ventricular enlargement. Surgical intervention was complex due to persistent lateral ventricle dilation from inflammation.
Area of Science:
- Pediatric Neurology
- Infectious Diseases
- Neurosurgery
Background:
- Neonatal meningitis can present with severe complications.
- Brain abscesses in infants are uncommon and challenging to manage.
Observation:
- An 11-day-old infant presented with fever and meningeal signs.
- Computed tomography revealed a right temporal lobe brain abscess with hemorrhage.
- Cerebrospinal fluid analysis confirmed Escherichia coli meningitis.
Findings:
- Purulent meningitis and brain abscess led to progressive ventricular system enlargement.
- Despite aspiration, drainage, and shunting, a left lateral ventricle horn remained dilated.
- Inflammatory septation likely caused the isolated, dilated ventricle.
Implications:
- This case highlights the complex management of neonatal brain abscesses.
- Understanding inflammatory processes is crucial for treating pediatric hydrocephalus secondary to infection.
- Effective surgical strategies are needed for managing isolated ventricular dilation.
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