caa a22 4500 477106803 CHVBK 20180405111556.0 cr unu---uuuuu 170330e19960601xx s 000 0 eng 10.1007/BF01411477 doi (NATIONALLICENCE)springer-10.1007/BF01411477 Multiloculated hydrocephalus related to cerebrospinal fluid shunt infection [Elektronische Daten] [A. Jamjoom, A. Mohammed, A. Al-Boukai, Z. Jamjoom, N. Rahman, H. Jamjoom] Summary: This study is an attempt to establish that CSF shunt infection has a role in the aetiology of multiloculated hydrocephalus. The authors carried out a review of 12 cases of multiloculated hydrocephalus who were treated at King Khalid University Hospital between 1988-1994. The multiloculation appears to have developed following the shunt infection in all cases. The hydrocephalus was related to an intraventricular haemorrhage (IVH) in 9 patients and was congenital in 2 patients and post-meningitic in 1 patient. The shunt infection was caused by a gram-negative organism in 8 patients and duration of external ventricular drainage ranged from 9-24 (median 13) days. The diagnosis of multiloculated hydrocephalus was made on average 2 months after the shunt infection. In three patients endoscopic fenestration of intraventricular septations was attempted but was effective in only one case. The other patients were managed by two shunts (9 patients) and three shunts (2 patients). At a mean follow-up of 15 months, the shunt revision rate of the patients was 0.4/year. One patient died of multiple brain abscesses and 6 patients remain severely disabled. The poor outcome may also be related to the original IVH as well as the multiloculated hydrocephalus. The study also shows that patients with post-haemorrhagic hydrocephalus, who develop a shunt infection due to gram-negative organisms and in whom the CSF fails to be cleared of the infection following 12 days of external drainage appear to be at risk of developing multiloculated hydrocephalus. Springer-Verlag, 1996 Cerebrospinal fluid shunt infection nationallicence multiloculated hydrocephalus nationallicence intraventricular septations nationallicence ventriculoscopy nationallicence Jamjoom A. Division of Neurosurgery, King Khalid University Hospital, Riyadh, Saudi Arabia aut Mohammed A. Division of Neurosurgery, King Khalid University Hospital, Riyadh, Saudi Arabia aut Al-Boukai A. Department of Radiology, King Khalid University Hospital, Riyadh, Saudi Arabia aut Jamjoom Z. Division of Neurosurgery, King Khalid University Hospital, Riyadh, Saudi Arabia aut Rahman N. Division of Neurosurgery, King Khalid University Hospital, Riyadh, Saudi Arabia aut Jamjoom H. Division of Neurosurgery, King Khalid University Hospital, Riyadh, Saudi Arabia aut Acta Neurochirurgica Springer-Verlag 138/6(1996-06-01), 714-719 0001-6268 138:6<714 1996 138 701 https://doi.org/10.1007/BF01411477 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/BF01411477 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Jamjoom A. Division of Neurosurgery, King Khalid University Hospital, Riyadh, Saudi Arabia aut NATIONALLICENCE 700 1- Mohammed A. Division of Neurosurgery, King Khalid University Hospital, Riyadh, Saudi Arabia aut NATIONALLICENCE 700 1- Al-Boukai A. Department of Radiology, King Khalid University Hospital, Riyadh, Saudi Arabia aut NATIONALLICENCE 700 1- Jamjoom Z. Division of Neurosurgery, King Khalid University Hospital, Riyadh, Saudi Arabia aut NATIONALLICENCE 700 1- Rahman N. Division of Neurosurgery, King Khalid University Hospital, Riyadh, Saudi Arabia aut NATIONALLICENCE 700 1- Jamjoom H. Division of Neurosurgery, King Khalid University Hospital, Riyadh, Saudi Arabia aut NATIONALLICENCE 773 0- Acta Neurochirurgica Springer-Verlag 138/6(1996-06-01), 714-719 0001-6268 138:6<714 1996 138 701 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer