Ito Miiko, Matsuda Kenichiro, Sato Shinya, Sonoda Yukihiko
Department of Neurosurgery, Faculty of Medicine, Yamagata University.
No Shinkei Geka. 2020 Dec;48(12):1121-1128. doi: 10.11477/mf.1436204335.
Multiloculated hydrocephalus following severe meningitis with ventriculitis is often therapeutically challenging. Neonatal meningitis is commonly associated with ventricular inflammation, and approximately 30% of patients show septum formation. Although placement of a single ventriculoperitoneal shunt system could serve as optimal treatment for a multiloculated cerebrospinal cavity that is converted into a single chamber, multiple devices are often required for disease stability. We report a case of multiloculated hydrocephalus that occurred after meningitis in a patient who was successfully treated with a single shunt system using staged multimodality treatments.
重症脑膜炎合并脑室炎后的多房性脑积水在治疗上通常具有挑战性。新生儿脑膜炎常伴有脑室炎症,约30%的患者会出现隔膜形成。尽管放置单个脑室腹腔分流系统可作为将多房性脑脊髓腔转变为单腔的最佳治疗方法,但为了病情稳定,通常需要多个装置。我们报告一例脑膜炎后发生多房性脑积水的病例,该患者通过分阶段多模式治疗使用单个分流系统成功治愈。