Table Of ContentNeurosurgical Infectious Disease
Surgical and Nonsurgical Management
Neurosurgical Infectious Disease
Surgical and Nonsurgical Management
Walter A. Hall, MD, MBA
Professor of Neurosurgery
Department of Neurological Surgery
SUNY Upstate Medical University
Syracuse, New York
Peter D. Kim, MD, PhD
Neurosurgeon
Department of Neurosurgery
Gillette Children’s Specialty Healthcare
St. Paul, Minnesota
Thieme
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Library of Congress Cataloging-in-Publication Data
Neurosurgical infectious disease : surgical and nonsurgical management / [edited by] Walter A. Hall, 
Peter D. Kim.
       p. ; cm.
  Includes bibliographical references.
  ISBN 978-1-60406-805-4 (alk. paper) —ISBN 978-1-60406-821-4 (eISBN)
  I. Hall, Walter A., 1957- II. Kim, Peter D. 
  [DNLM:  1. Central Nervous System Infections—therapy.  2. Anti-Infective Agents—therapeutic use.   
3. Central Nervous System Infections—diagnosis.  4. Communicable Diseases—therapy.  WL 301]
  RC386.5
  616.8′3—dc23
                  2013003829
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Printed in China
5 4 3 2 1
ISBN 978-1-60406-805-4
Also available as an e-book:
eISBN 978-1-60404-821-4
This book is dedicated to Madeleine and Stanley Smalley for their unwavering support, 
encouragement, and love over three decades. 
Walter A. Hall
This book is dedicated, with love and gratitude, to my parents, Kenneth and Susan Kim.
Peter D. Kim
Contents
Foreword ...............................................................................................................................................ix
Patricia Ferrieri, MD
Preface ................................................................................................................................................................xi
Contributors .......................................................................................................................................xiii
I  Background Information
1  Immunology of the Central Nervous System ...........................................................................3
Pragati Nigam and Maciej S. Lesniak
2  Microbiological Diagnosis of Central Nervous System Infections...................................16
Yuriko Fukuta and Karin Byers
3  Antibiotics and the Development of Resistance ...................................................................30
Peter D. Kim and Walter A. Hall
4  Radiology of Central Nervous System Infections  ................................................................35
Kunal M. Patel and Charles L. Truwit
II  Etiologic Agents
5  Viral Infections of the Central Nervous System ....................................................................51
Joseph B. Domachowske, Manika Suryadevara, and Walter A. Hall 
6  Fungal Infections of the Central Nervous System ................................................................68
Walter A. Hall and Peter D. Kim
7  Parasitic Infections of the Central Nervous System .............................................................81
Ali Akhaddar and Mohamed Boucetta
8  Bacterial Brain Abscess .................................................................................................................95
Peter D. Kim and Walter A. Hall
III  CNS Locations for Infection
9  Meningeal Infections ...................................................................................................................107
Manika Suryadevara and Joseph B. Domachowske
10  Epidural and Subdural Infections ............................................................................................125
Sandi Lam and Peter C. Warnke
11  Infectious Intracranial Aneurysms .........................................................................................133
Hoon Choi, Walter A. Hall, and Eric M. Deshaies
12  Vertebral Column Infections .....................................................................................................147
Kyle I. Swanson and Daniel K. Resnick
13  Spinal Canal Infections ...............................................................................................................163
Ian E. McCutcheon
IV  Neurosurgical Issues
14  Neurosurgical Antibiotic Prophylaxis ....................................................................................185
Daraspreet Singh Kainth, Dino Terzic, and Stephen J. Haines
15  Postoperative Intracranial Infections .....................................................................................196
Arya Nabavi, Frederike Knerlich-Lukoschus, and Andreas M. Stark
16  Implanted Devices and Central Nervous System Infection .............................................208
Ramesh Grandhi, Gillian Harrison, and Elizabeth Tyler-Kabara
V  Special Populations
17  Pediatric Central Nervous System Infections ......................................................................233
s
nt Ian Mutchnick and Thomas M. Moriarty
e
t
n 18  Central Nervous System Infections in Immunocompromised Hosts ...........................247 
o
C Ouzi Nissim, Gahl Greenberg, Zvi R. Cohen, and Roberto Spiegelmann
19  Systemic Infections in the Neurologic Intensive Care Unit .............................................269 
Michael F. Regner, Christopher D. Baggott, Barry C. Fox, and Joshua E. Medow
Index  ............................................................................................................................................................285
viii