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[Multiloculated Hydrocephalus Complicated by Meningitis and Ventriculitis Treated with Staged Fenestration:A Case
Miiko Ito1, Kenichiro Matsuda, Shinya Sato
1Department of Neurosurgery, Faculty of Medicine, Yamagata University.
Abstract:
Multiloculated hydrocephalus following severe meningitis with ventriculitis is often therapeutically challenging. Neonatal meningitis is commonly associated with ventricular inflammation, and approximately 30% of patients show septum formation. Although placement of a single ventriculoperitoneal shunt system could serve as optimal treatment for a multiloculated cerebrospinal cavity that is converted into a single chamber, multiple devices are often required for disease stability. We report a case of multiloculated hydrocephalus that occurred after meningitis in a patient who was successfully treated with a single shunt system using staged multimodality treatments.
Insights
Multiloculated hydrocephalus after meningitis is challenging. This case study shows successful treatment using a single shunt system with staged, multimodality therapies, converting multiple cavities into one.
Area of Science:
- Pediatric Neurosurgery
- Neurology
- Infectious Diseases
Background:
- Neonatal meningitis frequently causes ventricular inflammation and septum formation, leading to complex multiloculated hydrocephalus.
- Treating multiloculated hydrocephalus often requires multiple cerebrospinal fluid diversion devices, posing therapeutic challenges.
- Existing treatments may struggle with stabilizing cerebrospinal fluid cavities due to septations.
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