Abstract
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Highlights
• Multidisciplinary approach: Diagnosis and management of intraventricular infections require collaboration between
clinicians, imaging specialists, and therapeutic intervention teams.
• Imaging features: Ventricular debris on computed tomography (CT) and magnetic resonance imaging (MRI) serve
as characteristic findings aiding in diagnosis, with additional modalities, such as nuclear scintigraphy and ultrasonography
as supplementary tools.
• Cerebrospinal fluid (CSF) analysis: Increased leukocyte counts and identification of common pathogens, such as
gram-negative organisms and streptococcus species are crucial diagnostic indicators.
• Prompt diagnosis and treatment: Essential to reduce mortality rates associated with intraventricular infections,
emphasizing the importance of early intervention.
• Therapeutic interventions: Intraventricular antimicrobial therapy may be considered in refractory cases, alongside
long-term antibiotic treatment and follow-up monitoring as standard practice.
• Surgical intervention: Craniotomy or neuroendoscopic lavage may be necessary, especially in emergent situations,
to optimize outcomes and prevent complications.
• Need for further research: Precise treatment protocols, particularly for primary bacterial ventriculitis, require additional
investigation to guide effective clinical decision-making.
• Proactive approach: Comprehensive understanding and proactive management strategies are essential to mitigate
morbidity and mortality risks associated with intraventricular infections.