Multiloculated hydrocephalus developing secondary to ventriculitis and their management: Two paediatric cases

Abstract

Background: Inflammatory ventricular processes such as meningitis, severe intraventricular haemorrhage, or ventriculitis may result in multiloculated hydrocephalus. It is a significant condition associated with high morbidity and mortality. Loculated hydrocephalus is a condition characterised by distinct, noncommunicating compartments within the ventricular system due to different etiologies.

Observation(s): Two pediatric cases, aged 0 and 5 years, with refractory ventriculitis complicated by multiloculated hydrocephalus were presented; intraventricular antibiotics were used to treat the ventriculitis, and external and closed shunt systems were used to resolve the multiloculated hydrocephalus.

Conclusion: Complex cases often complicate surgical management. Various surgical methods have been proposed for treatment, but multiloculated hydrocephalus is a complex and difficult condition to manage. To achieve success in the treatment of multiloculated hydrocephalus, there will always be a need for surgeons who are persistent and know what they are doing.