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KMID : 1148420220050020066
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Journal of Neurointensive Care
2022 Volume.5 No. 2 p.66 ~ p.69
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Intraventricular Lavage Via Bilateral Extraventricular Lavage: A Case Report and Literatures Review
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Kim Ji-Hong
Kim Dong-Hwan
Park Hyun
Kang Dong-Ho
Lee Chul-Hee
Jung Jin-Myung
Park In-Sung
Go Kyeong-O
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Abstract
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Ventriculitis has a poor prognosis, and treatment is technically challenging. We describe a case of ventriculitis in which bilateral continuous extraventricular lavage was performed and review the previously published literature on the treatment of ventriculitis using extra-ventricular drainage (EVD). A 75-year-old woman with ventriculitis and empyema was managed using an extra-ventricular drainage catheter inserted bilaterally at Kocher’s point. As the intravenous meropenem as empirical antibiotics preoperatively had been administered, the meropenem-mixed saline was continuously dripped through one EVD catheter intraoperatively. Approximately 1 L of saline with antibiotics was drained until grossly clear fluid flowed through the other EVD catheter. The follow-up MRI and the cerebrospinal fluid profile appeared to have improved. The ventriculoperitoneal shunt was performed due to secondary hydrocephalus in the course. Three months later, the patient was available for cane gait and is currently undergoing follow-up without neurological complications.
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KEYWORD
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Cerebral ventriculitis, Therapeutic irrigation, IInfusions, Intraventricular
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