Western CNS Rounds
Question 1
Which of the following radiographic characteristics are present on this CT?
Hydrocephalus
Subarachnoid hemorrhage
Intraventricular hemorrhage
All of the above
Question 2
What is the suspected source of the subarachnoid hemorrhage?
ACA aneurysm rupture
MCA aneurysm rupture
Posterior circulation aneurysm rupture
Perimesencephalic hemorrhage
Question 3
With continued fevers of unknown origin, what would your next step in management be?
Consult Infectious Disease for workup
Removal of EVD
Removal and insertion of new EVD
Initiation of IV antibiotics
Trial of intraventricular antibiotics
Trial of intraventricular irrigation
Question 4
With these CSF findings, what would your next step in management be?
Continue current IV antibiotic regimen
Modification of IV antibiotic regimen
Removal of EVD
Removal and insertion of new EVD
Trial of intraventricular antibiotics
Trial of intraventricular irrigation
Question 5
With these CSF culture findings, what would your next step in management be?
Repeat CSF culture to R/O contamination
Initiate IV antibiotics
New EVD; IV antibiotics
New EVD; IV + intraventricular antibiotics
New EVD; IV atbx; intraventricular irrigation
Question 6
What is the mortality rate for cerebral ventriculitis?
0-10%
10-30%
30-50%
30-70%
70-100%
Question 7
With this recent MRI, what would your next step in management be?
Continue current IV antibiotics
New EVD; ∆ IV antibiotic regimen
New EVD; continue IV antibiotics
New EVD; IV + intraventricular antibiotics
New EVD; IV atbx; intraventricular irrigation
Question 8
What would your next step in management be?
Continue current IV antibiotics
New EVD; ∆ IV antibiotic regimen
New EVD; continue IV antibiotics
New EVD; IV + intraventricular antibiotics
New EVD; IV atbx; intraventricular irrigation