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 nght 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.
Original language | English |
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Pages (from-to) | 761-766 |
Number of pages | 6 |
Journal | Neurological Surgery |
Volume | 44 |
Issue number | 9 |
Publication status | Published - 2016 Sep |
Keywords
- Aqueduct stenosis
- Endoscopic third ventriculostomy
- Hydrocephalus
- Listeria meningitis
- Magnetic resonance imaging
ASJC Scopus subject areas
- Surgery
- Clinical Neurology