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SECONDs Administration Guidelines: A Fast Tool to Assess Consciousness in Brain-injured Patients

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Male with Altered Mental Status.

Jason Kondrat¹, Ben Ilyaguyev¹, Jonathan Stern²

¹Staten Island University Hospital, Department of Emergency Medicine, Staten Island, New York.

Clinical Practice and Cases in Emergency Medicine

|February 9, 2021

Summary

This summary is machine-generated.

A serious condition called ventriculitis, an inflammation of the brain's ventricles, was diagnosed in a patient presenting with fever and altered mental status. Early detection and prompt treatment are crucial for managing this uncommon disease.

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Area of Science:

Neurology
Infectious Diseases
Radiology

Background:

Ventriculitis is an uncommon but serious infection affecting the brain's ventricular system.
Prompt diagnosis and management are critical for patient outcomes.

Purpose of the Study:

To present a case of ventriculitis diagnosed in a patient with altered mental status and fever.
To highlight the importance of advanced imaging in diagnosing this condition.

Main Methods:

Case presentation of a 62-year-old male with altered mental status and fever.
Computed tomography (CT) of the head to assess ventricular size.
Magnetic resonance imaging (MRI) to visualize intraventricular debris, purulence, and surrounding edema.

Main Results:

CT scan revealed enlargement of the left lateral ventricle.
MRI demonstrated significant findings including debris, purulence within the ventricle, and transependymal flow of cerebrospinal fluid.

Conclusions:

The patient was diagnosed with ventriculitis based on clinical presentation and imaging findings.
Emphasizes ventriculitis as a rare but severe condition requiring urgent medical attention.
Underscores the necessity of early recognition and timely treatment for effective management.