Therapeutic Trials in Two Cases with Chronic Meningitisvia Ommaya? Reservoir

J Korean Neurol Assoc > Volume 12(4); 1994 > Article

Journal of the Korean Neurological Association 1994;12(4): 764-769.

만성 뇌막염에서 Ommaya Reservoir를 이용한 치료경험 2예

손일홍, 석승한,허균,이병인

연세대학교 신경과.

Therapeutic Trials in Two Cases with Chronic Meningitisvia Ommaya? Reservoir

Il Hong Son, M.D., Seung Han Suk, M.D., Kyoon Huh, M.D., Byung In Lee, M.D.

Department of Neurology, Yonsei University Wonju College of Medicine, Department of Neurology, Yonsei University College of Medicine

Abstract

Ommaya reservoir implantation has been used for sterile assessment into ventricular CSF or direct chemotherapy of chronic meningitis and meningeal involvement of malignancy since 1963. We experienced two cases with chronic meningitis, one was tuberculous meningitis with obstructive hydrocephalus which was not improved by repetitive shunt and the other was cryptococcal meningitis which was not improved by traditional chemotherapy of intravenous amphotericin B and oral flucytosine. Ommaya reservoir was implanted for daily CSF drainage of intractable hydrocephalus in the first patient and for direct injection of amphotericin B into ventricle in the second patient. Both of two cases were successfully managed by the reservoir. Therefore, Ommaya reservoir could be useful in patients with chronic meningitis which are not improved by traditional management.