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

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

Research output: Contribution to journalArticlepeer-review

Abstract

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.

Original languageEnglish
Pages (from-to)243-248
Number of pages6
JournalActa medica Okayama
Volume75
Issue number2
Publication statusPublished - 2021

Keywords

  • anterior skull base surgery
  • intraventricular antimicrobial therapy
  • surgical site infection
  • ventriculitis

ASJC Scopus subject areas

  • Biochemistry, Genetics and Molecular Biology(all)

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