Abstract
Background
Increasingly, Onyx is used for endovascular embolization of aneurysms and arterio-venous malformations. Although reports in the literature on the use of Onyx are favourable, there have been so far no reports on the central nervous system (CNS) infection rate after embolisation with Onyx and no recommendations as to the management of these infections.
Case reports
We present two cases of paediatric patients who acquired CNS infection with Pseudomonas aeruginosa after Onyx embolisation of AVMs and describe their subsequent management.
Conclusions
Presence of established infection after Onyx embolisation should be dealt with by removal of infected material, administration of appropriate antibiotic therapy and supportive treatment.
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Competing interest and funding
The authors declare that they have no conflict of interest, and no funding was secured in the preparation of this manuscript.
We would like to acknowledge and thank Dr. S Brew, consultant radiologist, who was instrumental in treating these patients.
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Pulhorn, H., Hartley, J.C., Shanmuganathan, M. et al. Central nervous system infection after Onyx embolisation of arterio-venous malformations in two paediatric patients. Childs Nerv Syst 30, 1577–1581 (2014). https://doi.org/10.1007/s00381-014-2447-y
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DOI: https://doi.org/10.1007/s00381-014-2447-y