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Ruptured intraventricular brain abscesses due to Fusobacterium nucleatum with obstructive hydrocephalus: illustrative case

Nina Srour, Audrey Demand, Yi Zhang, William Musick, Annette Lista, and Jiejian Lin

. CSF cytology was negative for a malignant process and CSF pathology only confirmed suppurative diagnosis. The patient was transferred to the Houston Methodist main hospital neurosurgical ICU for higher level of care. Antimicrobial coverage was broadened to linezolid, meropenem, and intrathecal vancomycin and gentamicin. Repeat head CT revealed progressive pus in the left lateral ventricle with obstructive hydrocephalus, necessitating endoscopic third ventriculostomy and placement of a second right frontal EVD. The patient’s neurological symptoms gradually improved

Open access

Immunocompetent isolated cerebral mucormycosis presenting with obstructive hydrocephalus: illustrative case

Khoa N Nguyen, Lindsey M Freeman, Timothy H Ung, Steven Ojemann, and Fabio Grassia

to red blood cells (2,000) on cell count. The differential resulted in 8% neutrophils, 65% lymphocytes, and 27% monocytes. Cultures were negative. Four days later, the patient underwent planned endoscopic third ventriculostomy (ETV). An intraoperative decision was made to also complete an endoscopic biopsy. Induction of general anesthesia, endotracheal intubation, and patient head fixation in a neutral 30° elevated position were completed in typical fashion. After the usual surgical preparation, a right frontal burr hole was made at Kocher’s point, and the dura