Obstructive Infantile Hydrocephalus Secondary to Meningoventriculitis: A Case Report
Obstructive infantile hydrocephalus may arise due to anatomic or functional obstruction of cerebrospinal fluid flow. Obstruction of the aqueduct of sylvius (aqueductal stenosis) causes dilation of the lateral and third ventricles, while the size of the fourth ventricle remains relatively normal. Ob...
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| Format: | Article |
| Language: | English |
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Nepal Medical Association
2023-07-01
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| Series: | Journal of Nepal Medical Association |
| Subjects: | |
| Online Access: | https://www.jnma.com.np/jnma/index.php/jnma/article/view/8219 |
| _version_ | 1797788854487351296 |
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| author | Rupesh Raut Shailes Paudel Prakriti Bhandari Umang Gupta Anil Nepali |
| author_facet | Rupesh Raut Shailes Paudel Prakriti Bhandari Umang Gupta Anil Nepali |
| author_sort | Rupesh Raut |
| collection | DOAJ |
| description |
Obstructive infantile hydrocephalus may arise due to anatomic or functional obstruction of cerebrospinal fluid flow. Obstruction of the aqueduct of sylvius (aqueductal stenosis) causes dilation of the lateral and third ventricles, while the size of the fourth ventricle remains relatively normal. Obstructive infantile hydrocephalus with meningoventriculitis is a rare phenomenon, and literature with only 2 other children with similar findings have been reported. We hereby report a case of a 16-week-old infant who developed Escherichia coli meningoventriculitis, later complicated by the development of hydrocephalus, challenging the management. The diagnosis was based on the magnetic resonance imaging of the brain, which showed hydrocephalus, and the cerebrospinal fluid culture showing Escherichia coli meningoventriculitis. The case was managed with serial ventricular drainage along with antibiotics followed by staged ventriculoperitoneal shunting. Serial measurement of head circumference is essential to prompt diagnostic suspicion in the case of paediatric meningitis.
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| first_indexed | 2024-03-13T01:42:29Z |
| format | Article |
| id | doaj.art-27d6deac110d4464ac86b406b0780d9b |
| institution | Directory Open Access Journal |
| issn | 0028-2715 1815-672X |
| language | English |
| last_indexed | 2024-03-13T01:42:29Z |
| publishDate | 2023-07-01 |
| publisher | Nepal Medical Association |
| record_format | Article |
| series | Journal of Nepal Medical Association |
| spelling | doaj.art-27d6deac110d4464ac86b406b0780d9b2023-07-03T11:15:33ZengNepal Medical AssociationJournal of Nepal Medical Association0028-27151815-672X2023-07-016126310.31729/jnma.8219Obstructive Infantile Hydrocephalus Secondary to Meningoventriculitis: A Case ReportRupesh Raut0Shailes Paudel1Prakriti Bhandari 2Umang Gupta3Anil Nepali4Department of Neurosurgery, Patan Academy of Health Science, Lagankhel, Lalitpur, NepalPatan Academy of Health Science, Lagankhel, Lalitpur, NepalBadegaun Primary Health Care Center, Badegaun, Lalitpur, NepalDepartment of Emergency Medicine, Maharajgunj Medical Campus, Maharajgunj, Kathmandu, NepalDepartment of Emergency Medicine, Maharajgunj Medical Campus, Maharajgunj, Kathmandu, Nepal Obstructive infantile hydrocephalus may arise due to anatomic or functional obstruction of cerebrospinal fluid flow. Obstruction of the aqueduct of sylvius (aqueductal stenosis) causes dilation of the lateral and third ventricles, while the size of the fourth ventricle remains relatively normal. Obstructive infantile hydrocephalus with meningoventriculitis is a rare phenomenon, and literature with only 2 other children with similar findings have been reported. We hereby report a case of a 16-week-old infant who developed Escherichia coli meningoventriculitis, later complicated by the development of hydrocephalus, challenging the management. The diagnosis was based on the magnetic resonance imaging of the brain, which showed hydrocephalus, and the cerebrospinal fluid culture showing Escherichia coli meningoventriculitis. The case was managed with serial ventricular drainage along with antibiotics followed by staged ventriculoperitoneal shunting. Serial measurement of head circumference is essential to prompt diagnostic suspicion in the case of paediatric meningitis. https://www.jnma.com.np/jnma/index.php/jnma/article/view/8219case reports; hydrocephalus; infectious ventriculitis; meningitis; ventriculoperitoneal shunt. |
| spellingShingle | Rupesh Raut Shailes Paudel Prakriti Bhandari Umang Gupta Anil Nepali Obstructive Infantile Hydrocephalus Secondary to Meningoventriculitis: A Case Report Journal of Nepal Medical Association case reports; hydrocephalus; infectious ventriculitis; meningitis; ventriculoperitoneal shunt. |
| title | Obstructive Infantile Hydrocephalus Secondary to Meningoventriculitis: A Case Report |
| title_full | Obstructive Infantile Hydrocephalus Secondary to Meningoventriculitis: A Case Report |
| title_fullStr | Obstructive Infantile Hydrocephalus Secondary to Meningoventriculitis: A Case Report |
| title_full_unstemmed | Obstructive Infantile Hydrocephalus Secondary to Meningoventriculitis: A Case Report |
| title_short | Obstructive Infantile Hydrocephalus Secondary to Meningoventriculitis: A Case Report |
| title_sort | obstructive infantile hydrocephalus secondary to meningoventriculitis a case report |
| topic | case reports; hydrocephalus; infectious ventriculitis; meningitis; ventriculoperitoneal shunt. |
| url | https://www.jnma.com.np/jnma/index.php/jnma/article/view/8219 |
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