A Case of Hydrocephalus in Listeria Meningitis Treated by Endoscopic Third Ventriculostomy

A 69-year-old woman presented with anorexia, fever, and vomiting. The patient was not a compromised host. She was finally diagnosed with meningitis and treated with ampicillin and gentamicin. However, her condition worsened over time. Non-contrast head CT showed ventricular dilatation. As a result,...

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Bibliographic Details
Published in:	Nō shinkei geka Vol. 44; no. 9; p. 761
Main Authors:	Abe, Takatsugu, Kawaguchi, Tomohiro, Fujimura, Miki, Tominaga, Teiji
Format:	Journal Article
Language:	Japanese
Published:	Japan 01-09-2016
Subjects:	Aged Cerebrospinal Fluid Shunts Female Humans Hydrocephalus - diagnosis Hydrocephalus - surgery Meningitis - diagnosis Meningitis - surgery Third Ventricle - surgery Treatment Outcome Ventriculostomy - methods
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Summary:	A 69-year-old woman presented with anorexia, fever, and vomiting. The patient was not a compromised host. She was finally diagnosed with meningitis and treated with ampicillin and gentamicin. However, her condition worsened over time. Non-contrast head CT showed ventricular dilatation. As a result, continuous right ventricular drainage was performed. Non-contrast MRI revealed hydrocephalus due to stenosis of the fourth ventricle. She underwent endoscopic third ventriculostomy(ETV)to improve cerebrospinal fluid circulation. This procedure achieved a good result. The efficacy of ETV for post-infectious hydrocephalus has not been proven, but previous cases suggest that ETV would be effective in non-communicating hydrocephalus, even if it were a result of neuroinfection.
ISSN:	0301-2603
DOI:	10.11477/mf.1436203373