Brain abscess formation as a CSF shunt complication: a case report

Jamjoom, Aimun A B; Waliuddin, Abrar R; Jamjoom, Abdulhakim B.

doi:10.1186/1757-1626-2-110

Cited by 4 publications

(4 citation statements)

References 11 publications

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“…Наблюдение из практики | From practice катетеру у 2-летнего ребенка с врожденной гидроцефалией, рядом шунтирующих операций, через 13 мес после оперативного лечения [13]. С учетом развития у больного менингита выполнено удаление шунтирующей системы и абсцесса головного мозга, наружное вентрикулярное дренирование.…”

Section: Russian Journal Of Neurosurgeryunclassified

“…Через 10 дней на фоне положительного эффекта от лечения пациенту проведено ВПШ. Авторы рекомендуют учитывать возможность развития такого осложнения в клинической практике и удалять нефункционирующий ВК [13].…”

Section: Russian Journal Of Neurosurgeryunclassified

“…В найденных нами работах авторы приходят к мнению, что нефункционирующий катетер служит местом бактериальной колонизации и может привести к образованию абсцесса. Как профилактику таких осложнений предлагают удаление ВК [8,[12][13][14]. Однако удаление катетера не всегда возможно и в ряде случаев может привести к серьезным осложнениям в виде внутримозговой гематомы или внутрижелудочкового кровоизлияния, особенно когда катетер плотно прилегает к сосудистому сплетению или стенке желудочка [15].…”

Section: Russian Journal Of Neurosurgeryunclassified

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Non-functioning ventricular catheter as a cause of brain abscess in a child: case report

Gaibov

Zacharchyk

Serobyan

et al. 2022

Nejrohirurgiâ (Mosk.)

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Introduction. The occurrence of a brain abscess caused by a non-functioning ventricular catheter is a rare complication. This approach can be considered a preventive measure for the occurrence of infectious complications. Klebsiella pneumoniae, as an etiological factor in the occurrence of brain abscess, is relatively rare according to literature.Aim. To present our experience of treating a child with hydrocephalus who developed a brain abscess caused by a nonfunctioning ventricular catheter.Materials and methods. The material for the study was the clinical history of a 4-year-old patient with a brain abscess caused by a non-functioning ventricular catheter left after the replacement of the shunt system.Results. The prevention of such a complication is the complete removal of the elements of the ventriculoperitoneal shunting during its replacement. When an abscess is formed, the most appropriate method is its open removal along with a non-functioning catheter, since this allows the pathological focus to be sanitized as much as possible. This approach can be considered a preventive measure for the occurrence of infectious complications in the future. If a condition occurs when there is a combination of a brain abscess against the background of a non-functioning catheter, SPS and there are no inflammatory changes in the cerebrospinal fluid, it is advisable to remove the brain abscess along with the capsule and catheter, as well as removing the peritoneal catheter from the abdominal cavity. This tactic is also justified when the total removal of the abscess capsule is impossible, or there are already inflammatory changes in the cerebrospinal fluid and it is necessary to sanitize it.Of great clinical interest is also the study of the microbiological aspects of this pathology. Klebsiella pneumoniae, which was isolated during a microbiological study in this clinical example, as an etiological factor in the occurrence of a brain abscess, is rare according to the literature.Conclusion. The problem of the occurrence and treatment of infectious complications after liquor-reshunting operations during hydrocephalus is an urgent task in neurosurgery. Based on the analysis of the literature, it can be said that the rarity of publications on this topic makes even individual reports relevant, and today there is no way to propose a specific strategy for a non-functioning ventricular catheter.

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Section: Russian Journal Of Neurosurgeryunclassified

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Non-functioning ventricular catheter as a cause of brain abscess in a child: case report

Gaibov

Zacharchyk

Serobyan

et al. 2022

Nejrohirurgiâ (Mosk.)

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“…[17] Brain abscess (or cerebral abscess) is an abscess caused by inflammation and collection of infected material, coming from local (like ear infection) or remote (ex; lung, heart, kidney ) infectious sources, within the brain tissue. [18] The enhancing ring of an abscess is usually thinner and more uniform than that found in the neoplasm. Granulomatous abscesses tend to have a thicker ring than pyogenic abscesses and have less surrounding edema.…”

Section: Introductionmentioning

confidence: 99%

Value of MRI in Brain Ring enhancing lesions

Hussein

Shukri²,

Raekan

2013

Kufa Jour. Nurs. Sci.

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Objectives : to evaluate the role of contrast enhanced MRI to distinguish the ring enhancing brain lesions with histological findings and clinical diagnosis as reference standard Methodology: This prospective study was done in may 2011 to may 2012. 20 patients with various ring enhancing lesions in the brain detected by MRI with different clinical conditions, fifteen males and 5 females between 13-63 years age MR imaging was performed with MRI of (Philips - achiva 1.5 Tesla 16 channels). Routine sequences of T1, T2 and FLAIR spin echo sequences with IV contrast, gadolinium were carried out. Statically analysis include sensitivity, specificity and accuracy accounting in this study Results : Contrast enhanced MRI revealed 4 cases of non neoplastic and 13 cases as neoplastic brain ring lesions compared with histopathology which revealed 5 cases of non neoplastic and 15 cases of neoplastic brain ring enhancing lesions. Sensitivity of MRI for non neoplastic lesions was 80% and specificity is 86.6%. Sensitivity of MRI for neoplastic lesions was 86.6% and specificity was Â 80%. Accuracy of MRI in differentiation of ring enhancing brain lesion either neoplastic or non neoplastic was 85%. MRI of neoplastic ring lesions revealed 4 cases as metastasis and 9 cases as primary tumor of high grade astrocytoma (globlastoma multiforme ) while histopathology reveal 5 cases metastasis and 10 cases glioblastoma multiforme. Sensitivity of MRI for metastatic ring lesion was 80% and specificity was 81.8%. Sensitivity of MRI for primary neoplastic tumor is 81.8% and specificity was 66.6%. MRI for non neoplastic ring lesions included 3 cases as abscess, on case resolving hematoma while histopathology revealed 5 cases of non neoplastic ring lesions, 3 cases pyogenic abscess, one case resolving hematoma and one case radiation necrosis Conclusion and recommendation: The accuracy of differentiation of the neoplastic of non neoplastic ring enhancing lesions by MRI is 85%. In doubtful cases diagnosis improved by use of further sequences like diffusion- perfusion studies and nuclear studies.

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Emerging roles of IL-34 in neurodegenerative and neurological infectious disease

Chhetri

2021

International Journal of Neuroscience

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Brain abscess formation as a CSF shunt complication: a case report

Cited by 4 publications

References 11 publications

Non-functioning ventricular catheter as a cause of brain abscess in a child: case report

Non-functioning ventricular catheter as a cause of brain abscess in a child: case report

Value of MRI in Brain Ring enhancing lesions

Emerging roles of IL-34 in neurodegenerative and neurological infectious disease

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