Table 2.
Patient Demographics and Clinical Course
| Pt. No.; Age; Sex | Presenting Signs or Symptoms | Imaging Findings | Neurosurgery | Intubation Duration (Days) | Hospital length of stay (Days) | Symptoms Related to COVID-19 or Intervention |
|---|---|---|---|---|---|---|
| 1; 7 months; male | CSF leakage from ETV incision | Head CT: right subdural hygroma, right frontal pseudomeningocele from ETV incision | ETV wound revision for CSF leak; EVD; VPS placement; EVD and VPS removal and wound revision for CSF leak | During surgery only | 30 | None |
| 2; 10 months; female | Seizures, lethargy | Head CT: large right parietotemporal hemorrhage with bilateral intraventricular hemorrhage | EVD × 2; coiling of posterior cerebral artery intranidal aneurysm | 14 | 58 | None |
| 3; 15 months; male | Obtundation; vomiting; bradycardia; hypertension | Head CT: increased dilation of lateral, third, and fourth ventricles from baseline | VA shunt removal and EVD placement; new VA shunt placement and EVD removal | During surgery only | 5 | Tachypnea; chest radiograph for aspiration pneumonitis associated with tracheal intubation; readmitted for fever |
| 4; 6 years; male | Neck pain; headache; vomiting; lethargy | Head CT: left frontal intraparenchymal hemorrhage with 2–3-mm midline shift; cerebral angiogram: AVM of terminal MCA branch with intranidal aneurysm | Onyx embolization of intranidal aneurysm and AVM nidus; left frontal craniotomy for intranidal aneurysm resection and hemorrhage evacuation | During surgery only | 8 | None |
| 5; 11 years; female | CSF leakage from incision | Brain MRI: increased edema around ETV tract with increased ventricular size | Wound washout and revision; CSF sampling | During surgery only | 6 | None |
| 6; 16 years; male | Swelling on right neck over shunt tubing | Radiograph: disconnection of shunt tubing at neck | Distal shunt revision | During surgery only | 1 | None |
| 7; 17 years; male | Headache; blurry vision; leg weakness; vomiting | Brain MRI: large hemorrhagic cystic vermian mass | Craniotomy for tumor resection | During surgery only | 5 | None |
| 8; 18 years; male | Headache; blurry vision; gait instability; URI symptoms | Head CT: enlarged subdural hygroma collection | Proximal shunt revision and valve exchange | During surgery only | 3 | URI symptoms; headaches; chest radiograph for postoperative hypoxia |
Pt. No., patient number; COVID-19, coronavirus disease 2019; CSF, cerebrospinal fluid; ETV, endoscopic third ventriculostomy; CT, computed tomography; VPS, ventriculoperitoneal shunt; EVD, external ventricular drain; VA, ventriculoatrial; AVM, arteriovenous malformation; MCA, middle cerebral artery; MRI, magnetic resonance imaging; URI, upper respiratory infection.