Endoscopic third ventriculostomy for chronic hydrocephalus after tuberculous meningitis

Jonathan, Ashish ; Rajshekhar, Vedantam (2005) Endoscopic third ventriculostomy for chronic hydrocephalus after tuberculous meningitis Surgical Neurology, 63 (1). pp. 32-35. ISSN 0090-3019

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Official URL: http://www.sciencedirect.com/science/article/pii/S...

Related URL: http://dx.doi.org/10.1016/j.surneu.2004.03.011


Background: Cerebrospinal fluid diversion procedures are indicated in patients with hydrocephalus after tuberculous meningitis (TBM). We present 2 patients with hydrocephalus after TBM who were successfully treated with endoscopic third ventriculostomy (ETV). Methods: Two patients had been diagnosed with hydrocephalus after TBM and had undergone ventriculoperitoneal shunt surgery for the same. They presented with multiple episodes of shunt dysfunction. Endoscopic third ventriculostomy was performed (twice for one patient), and the patients were evaluated clinically and radiologically after the procedure. Results: On long-term clinical follow-up (3 and 2 years, respectively), both patients were asymptomatic after the ETV. The first patient was radiologically evaluated 7 months after the procedure and the second patient 2 years after the procedure. The first patient showed a decrease in ventricular size. The second patient did not show any significant change in the ventricular size. Conclusion: Endoscopic third ventriculostomy can be considered as a safe and long-lasting solution for hydrocephalus after chronic TBM.

Item Type:Article
Source:Copyright of this article belongs to Elsevier Science.
Keywords:Endoscopic Third Ventriculostomy; Hydrocephalus; Tuberculous Meningitis
ID Code:67173
Deposited On:29 Oct 2011 03:54
Last Modified:29 Oct 2011 03:54

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