Ventriculitis

Introduction to ventriculitis Ventricular inflammation refers to a series of clinical symptoms caused by bacteria invading the ventricles after trauma. It is a fatal intracranial infection in neurosurgery, in which the mortality of intraventricular respiritis is extremely high. The extraventricular drainage is the main cause of ventricular infection. Uncharacteristic clinical manifestations can diversify symptoms due to differences in primary disease, degree of infection, pathogens, and treatment. Antibacterial drugs are still an effective means of controlling ventricular infections. basic knowledge The proportion of sickness: 0.2% Susceptible people: no special people Mode of infection: non-infectious Complications: cerebral palsy hydrocephalus

Causes of ventriculitis

The ventricles after trauma are bacterial ventriculitis, mainly seen in penetrating brain injury, especially in patients with incomplete debridement in the early stage of penetrating penetrating injury, or secondary to meningitis, brain abscess, and sometimes even brain drainage. For iatrogenic infections caused by long-term or catheter shunting, the pathogens are usually Staphylococcus, Gram-negative bacilli, Pseudomonas aeruginosa or anaerobic bacteria.

Ventricular inflammation prevention

1. If the disease is caused by trauma or secondary to meningitis and brain abscess, it is necessary to pay attention to safety, drive carefully, keep the home environment bright, walk carefully, watch children and avoid trauma.

2. If the iatrogenic infection caused by excessive drainage outside the brain or catheter shunt, attention should be paid to aseptic operation.

Ventricle complications Complications, hydrocephalus, hydrocephalus

1. Severe ventriculitis is prone to cerebral palsy.

2. Occasionally, the abscess of the deep cerebral ventricle near the brain, causing hydrocephalus and intraventricular infective separation of small cavities, clinical manifestations of ventriculitis, often subacute or chronic infection process, occasionally acute attacks, prolonged, antibacterial The drug is difficult to enter the lesion, the treatment is often thorny, and the patient will eventually die from systemic failure.

Symptoms of ventricular inflammation common symptoms coma hydrocephalus brain abscess lateral ventricle widening hyperthermia cerebral meningitis intracranial hypertension

Mild ventriculitis, no clinical manifestations, its symptoms similar to meningitis, often overlooked early.

Severe ventriculitis is onset, often with symptoms such as high fever, convulsions, disturbance of consciousness and vital signs, and even cerebral palsy. The brain abscess suddenly collapses, and a large amount of pus enters the ventricular system, which can cause a strong autonomic reaction, high fever. , coma, sputum dilated, blood pressure decreased, breathing immediately, circulatory failure, little hope of treatment, occasionally abscess deep in the brain close to the ventricular wall, due to the influence of inflammatory reaction or a small amount of leakage due to pus The ventricle of the regional ventricle is infiltrated by inflammatory insults, often causing intraventricular adhesion and diaphragm formation, causing hydrocephalus and intraventricular infective separation of small cavities, patients will eventually die of systemic failure.

Examination of ventriculitis

Cerebrospinal fluid cytology, in addition to lumbar puncture cerebrospinal fluid increased white blood cells and found pustules, inflammatory changes in ventricular fluid can be found flocculent purulent secretions, increased protein content, reduced sugar quantitation, bacterial culture can be positive, CT scan visible There is localized or diffuse thin-layer linear enhancement of the ventricle of the ventricle, which is affected by inflammation. The intraventricular adhesions are separated, the hydrocephalus or ventricle is deformed, and the MRI manifestation of ventricular ependymitis is early. Positive changes, severe T2-weighted scans, showing a banded high signal area around the ventricles surrounding the brain, the intracranial purulent lesions also showed high signals, in addition, CT and MRI often found some complicated by ventriculitis Lesions, such as meningitis, brain abscess, cerebral edema and softening lesions.

Diagnosis and differentiation of ventricular inflammation

Mild ventriculitis, there is no special clinical manifestation, its symptoms are similar to meningitis, and it is often overlooked in the early stage. Therefore, after routine treatment of meningitis patients, there is no corresponding improvement in clinical symptoms and laboratory tests, especially When the condition is severe and accompanied by significant intracranial hypertension, the possibility of ventriculitis and/or special infection should be considered.

The material in this site is intended to be of general informational use and is not intended to constitute medical advice, probable diagnosis, or recommended treatments.