Pyogenic Ventriculitis After Anterior Skull Base Surgery Treated With Endoscopic Ventricular Irrigation And Reconstruction Using a Vascularized Flap

Ventriculitis is a rare, serious complication of neurosurgery. A 59-year-old man who had undergone a craniotomy for a paranasal adenocarcinoma, developed a right frontal cystic lesion. We performed a bifrontal craniotomy to remove the lesion. The dura was repaired with non-vascularized free fascia lata in watertight fashion. Ventriculitis occurred 3 days postoperatively. Ventricular drainage, craniectomy, and endoscopic irrigation were undertaken to remove an abscess. The dura and the resection cavity were reconstructed using a vascularized anterolateral thigh adipofascial flap. His symptoms disappeared, indicating that endoscopic irrigation and reconstruction can effectively address ventriculitis even in patients in critical clinical condition.

Medienart:

E-Artikel

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

Zur Gesamtaufnahme - volume:75

Enthalten in:

Acta medica Okayama - 75(2021), 2 vom: 05. Apr., Seite 243-248

Sprache:

Englisch

Beteiligte Personen:

Tomita, Yusuke [VerfasserIn]
Shimazu, Yosuke [VerfasserIn]
Kawakami, Masato [VerfasserIn]
Matsumoto, Hiroshi [VerfasserIn]
Fujii, Kentaro [VerfasserIn]
Kameda, Masahiro [VerfasserIn]
Yasuhara, Takao [VerfasserIn]
Suruga, Yasuki [VerfasserIn]
Ota, Tomoyuki [VerfasserIn]
Kimata, Yoshihiro [VerfasserIn]
Kurozumi, Kazuhiko [VerfasserIn]
Date, Isao [VerfasserIn]

Links:

Volltext

Themen:

Anterior skull base surgery
Case Reports
Intraventricular antimicrobial therapy
Surgical site infection
Ventriculitis

Anmerkungen:

Date Completed 21.03.2022

Date Revised 21.03.2022

published: Print

Citation Status MEDLINE

doi:

10.18926/AMO/61908

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM32505990X