Neuroendoscopy surgery for ventriculitis and hydrocephalus

Authors

  • Jairo Porfirio de Oliveira Júnior Departamento de Cirurgia Neurológica, Hospital de Clínicas, Faculdade de Medicina, Universidade Federal de Goiás, Goiânia, Brasil. https://orcid.org/0000-0001-9278-6212
  • Paulo Ronaldo Jubé Ribeiro Departamento de Cirurgia Neurológica, Hospital de Clínicas, Faculdade de Medicina, Universidade Federal de Goiás, Goiânia, Brasil. https://orcid.org/0000-0003-0114-0278
  • Bárbara Albuquerque Morais Departamento de Cirurgia Neurológica, Hospital de Clínicas, Faculdade de Medicina, Universidade Federal de Goiás, Goiânia, Brasil. https://orcid.org/0000-0002-3240-1226

DOI:

https://doi.org/10.46900/apn.v7i1.277

Keywords:

Neuroendoscopy, Hydrocephalus, Ventriculitis, endoscopic lavage

Abstract

Neuroendoscopy surgery is a minimally invasive surgical procedure that uses an endoscope to access and treat conditions within the brain. We are describing the case of a 2-month-old patient who was born extremely premature and developed complications from prematurity-related intraventricular hemorrhage. The mother had a preterm delivery due to chorioamnionitis, and the child developed neonatal sepsis and ventriculitis after birth. The child was treated conservatively from birth, without an effective response to treatment. A brain MRI showed tetraventricular hydrocephalus and several intraventricular collections. Cerebrospinal fluid analysis revealed increased cellularity with a predominance of polymorphonuclear cells, protein elevation, and glucose consumption. An exhaustive ventricular lavage, drainage of the intraventricular collections, septostomy, and third ventriculostomy were performed. The patient showed clinical and infectious improvement.

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References

- Tabuchi S, Kadowaki M. Neuroendoscopic surgery for ventriculitis and hydrocephalus after shunt infection and malfunction: Preliminary report of a new strategy. Asian J Endosc Surg. 2015 May;8(2):180-4. doi: 10.1111/ases.12162. PMID: 25913583; PMCID: PMC4437183.

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- Ochoa A, Argañaraz R, Mantese B. Neuroendoscopic lavage for the treatment of pyogenic ventriculitis in children: personal series and review of the literature. Childs Nerv Syst. 2022 Mar;38(3):597-604. doi: 10.1007/s00381-021-05413-3. Epub 2021 Nov 13. PMID: 34775525.

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Published

2024-12-03

How to Cite

1.
de Oliveira Júnior JP, Ribeiro PRJ, Morais BA. Neuroendoscopy surgery for ventriculitis and hydrocephalus. Arch Pediatr Neurosurg [Internet]. 2024 Dec. 3 [cited 2024 Dec. 19];. Available from: https://archpedneurosurg.com.br/sbnped2019/article/view/277

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