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Updated: Nov 18, 2025

SECONDs Administration Guidelines: A Fast Tool to Assess Consciousness in Brain-injured Patients
Published on: February 6, 2021
Male with Altered Mental Status
Jason Kondrat1, Ben Ilyaguyev1, Jonathan Stern2
1Staten Island University Hospital, Department of Emergency Medicine, Staten Island, New York.
Case Presentation:
A 62-year-old male presented to the emergency department with altered mental status and fever. Computed tomography of the head showed enlargement of the left lateral ventricle. Magnetic resonance imaging demonstrated debris and purulence in the ventricle along with edema and transependymal flow of cerebrospinal fluid surrounding both ventricles.
Discussion:
The patient was diagnosed with ventriculitis. Ventriculitis is an uncommon but serious disease. Early recognition and treatment are essential.
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