If there’s a brain microbiome then why does nothing grow when I send CSF from an EVD?
Culturing from CSF in general will depend on the concentration of the microbe, whether they are viable, if antibiotics/antivirals were already initiated pre-collection, whether it's plated on the appropriate media (e.g. a rare microbe that only grows on one specific type of agar plate), etc. Culturing viruses is also hard/many hospital micro labs have moved away from that.
I think this study may suggest that we are failing to detect certain brain infections (and many are notoriously hard to diagnose if you don't catch them in the right window of time). But a brain microbiome sounds far-fetched. We even plate from brain tissue directly at times and aren't growing a bunch of organisms. I'd approach that claim with a healthy dose of skepticism.