Description of Event or Problem · 1
PT WAS ADMITTED ON 8/25/96 WITH A SUBARACHNOID HEMORRHAGE SECONDARY TO A RUPTURED ANEURYSM. ANGIOGRAM ALSO SHOWED AN UNRUPTURED RIGHT MIDDLE COMMUNICATING ARTERY ANEURYSM. PT UNDERWENT A CRANIOTOMY AND CLIPPING OF BOTH ANEURYSMS. ON 8/26/96 VENTRICULOSTOMY WAS PERFORMED. ON 8/27/96, AN EMERGENCY CRANIOTOMY WAS DONE WITH DECOMPRESSION AND RIGHT TEMPORAL LOBECTOMY. ON 9/1/96, CEREBRAL SPINAL FLUID CULTURE WAS POSITIVE FOR NUMEROUS STAPHYLOCOCCUS AUREUS AND MODERATE STAPHYLOCOCCUS EPIDERMIS. PT'S MENINGITIS WAS TREATED WITH CEFTIZOXIME, NAFCILLIN AND RIFAMPIN. ON 9/2/96 LEAKAGE WAS NOTED AT THE VENTRICULOSTOMY CATHETER SITE. ON 9/7/96, A TRACHEOSTOMY AND J-TUBE WERE PLACD. ON 9/8/96, VENTRICULOSTOMY WAS REMOVED. ON 9/11/96, THE CEREBROSPINAL FLUID CULTURE SHOWED NO GROWTH X4 DAYS.