Description of Event or Problem · 1
PATIENT ADMITTED ON 8-25-96 WITH A SUB-ARACHNOID HEMORRHAGE SECONDARY TO A RUPTURED ANEURYSM. ANGIOGRAM ALSO SHOWED AN UNRUPTURED RIGHT MIDDLE COMMUNICATING ARTERY ANEURYSM. PATIENT 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. PATIENT'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 PLACED. ON 9-8-96, VENTRICULOSTOMY WAS REMOVED. ON 9-11-96, THE CEREBROSPINAL FLUID CULTURE SHOWED NO GROWTH X4 DAYS.