PMC6896918_01
Imaging data during the hospitalization of the patient.. Notes: (A) Contrast-enhanced T1-weighted MRI showed the occupying lesion of bilateral and third ventricles before surgery; (B) contrast-enhanced T1-weighted MRI on the 1st day after surgery; (C) EVD (right side) because of cerebral hernia on the 20th day after surgery; (D) EVD (left side) because of the right side catheter inadvertently slipping off on the 29th day after surgery; (E) EVD (right side) because of the worsening hydrocephalus on the 32th day after surgery; (F) ventricular catheters were removed on the 48th day after surgery.. Abbreviation: EVD, external ventricular drainage.
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Neuroimagings showed a occupying lesion located in bilateral and third ventricles (Figure 1A). The patient underwent neuronavigation-assisted IVT tumor excision (Figure 1B) and external ventricular drainage (EVD, right side) on September 27, 2017. But on the night of the same day, the patient suffered cardiac and respiratory arrest due to herniation of the brain, and we were forced to place another EVD (right side) for her (Figure 1C). In the meantime, we underwent EVD for her on the left (Oct 26, Day29 after surgery) and right side (Oct 29, Day32 after surgery) because of the drainage (right side) inadvertently slipping off and hydrocephalus, respectively (Figure 1D and E). After the CSF culture was negative for 3 consecutive times, the ventricular drainages were removed successively (Left side: Nov 6, Day40 after surgery; Right side: Nov 14, Day48 after surgery, Figure 1F) and the IVT amikacin was discontinued (Nov 12, Day46 after surgery).