계명대학교 의학도서관 Repository

원발성 대뇌 뇌실내 농양의 치료: 이중 배액관 및 오마야 장치의 이용

Metadata Downloads
Author(s)
변준철김엘
Keimyung Author(s)
Byun, Jun ChulKim, El
Department
Dept. of Pediatrics (소아청소년학)
Dept. of Neurosurgery (신경외과학)
Journal Title
Keimyung Med J
Issued Date
2023
Volume
42
Issue
2
Keyword
Bacterial infectionsEmpyemaStreptococcus pneumoniae
Abstract
An isolated ventricular abscess is a rare event, and its treatment is a real challenge. We report such case in a 52-year-old man that was successfully managed with aid of occipital approach and ventricular access device. This patient presented with the chief complaint of headache and fever of 3-day duration. Magnetic resonance imaging showed fluid-filled layering within the posterior horns of the lateral ventricle without contrast enhancement. Blood test and cerebrospinal fluid analysis was consistent with acute bacterial ventriculitis. Using stereotactic technique guided by electromagnetic navigation, the occipital horns were bilaterally targeted and catheterized, and then the abscess and debris was evacuated. The Ommaya reservoir implanted at the left entry was intermittently punctured for preventing the recollection. The pus culture was positive for Streptococcus pneumoniae. He received an antibiotic therapy and the reservoir aspiration leading to rapid recovery and remission of clinical manifestations. There was no evidence of the recurrence within the ventricles on follow-up scans after discharging. This modification, occipital approach and reservoir placement, is effective treatment for improving the cure rate in the selected cases with intraventricular cerebral empyema.
Alternative Title
Treatment of Primary Cerebral Ventricular Abscess: Use of Dual Catheters and Ommaya Reservoir
Keimyung Author(s)(Kor)
변준철
김엘
Publisher
School of Medicine (의과대학)
Type
Article
ISSN
2733-5380
Source
https://www.e-kmj.org/journal/view.php?number=2284
DOI
10.46308/kmj.2023.00080
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/45132
Appears in Collections:
2. Keimyung Medical Journal (계명의대 학술지) > 2023
1. School of Medicine (의과대학) > Dept. of Neurosurgery (신경외과학)
1. School of Medicine (의과대학) > Dept. of Pediatrics (소아청소년학)
Authorize & License
  • Authorize공개
Files in This Item:

Items in Repository are protected by copyright, with all rights reserved, unless otherwise indicated.