PMC6458877_01
(a) Neurosonogram performed on the 2nd hospital day showed a mildly dilated left lateral ventricle and echogenic ependyma (arrows); findings associated with ventriculitis. (b) Hospital day 7: neurosonography showing mildly dilated left lateral ventricle, echogenic ependyma, and intraventricular debris (arrows), suggestive findings associated with ventriculitis. (c) Hospital day 11: neurosonography showing moderately dilated left lateral ventricle, echogenic ependyma, and intraventricular debris (arrows).
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Serial MRIs were performed after 2 and 3 days, and 2, 3, 4, and 7 weeks of therapy showed subdural hydrocephalus, ventriculitis, abscesses, and subdural empyema (Figures 1 and 2).
(a) MRI of the head performed on the second hospital day showing mildly dilated lateral and fourth (arrow) ventricles. Cephalhematoma (C) was also noted. (b) Hospital day 13: MRI of the head showing moderately dilated lateral ventricles. Bilateral subdural and left parietooccipital parafalcine fluid collections were noted, suggestive findings of multiple abscesses. (c, d) Hospital day 19: MRI of the head showing multiple enhancing lesions in the bilateral posterior fossa, tentorium (T), and subdural (SD) region, suggestive findings of multiple brain abscesses and subdural empyema. Lateral ventricles (V) were moderately dilated.
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Serial MRIs were performed after 2 and 3 days, and 2, 3, 4, and 7 weeks of therapy showed subdural hydrocephalus, ventriculitis, abscesses, and subdural empyema (Figures 1 and 2).
Hospital day 63: MRI of the head showing trace cerebral (falx and tentorium) and posterior fossa subdural collections (empyema) (arrows). C: cephalhematoma.
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Repeat MRI prior to discharge showed trace amount of the subdural empyema, mild ventriculitis, and ventriculomegaly (Figure 3).