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

Abstract

A 69-year-old woman presented with anorexia, fever, and vomiting. The patient was not a compromised host. She was finally diagnosed with Listeria 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.

• Authors: Takatsugu Abe, Tomohiro Kawaguchi, Miki Fujimura, Teiji Tominaga
• Journal: No shinkei geka. Neurological surgery (No Shinkei Geka) Vol. 44 Issue 9 Pg. 761-6 (Sep 2016) ISSN: 0301-2603 [Print] Japan
• PMID: 27605478 (Publication Type: Case Reports, Journal Article)

Topics

• Aged
• Cerebrospinal Fluid Shunts
• Female
• Humans
• Hydrocephalus (diagnosis, surgery)
• Meningitis (diagnosis, surgery)
• Third Ventricle (surgery)
• Treatment Outcome
• Ventriculostomy (methods)