Endoscopic third ventriculostomy in post-tubercular meningitic hydrocephalus: a preliminary report.
Hydrocephalus is a common sequel of tubercular meningitis. Endoscopic third ventriculostomy (ETV) was performed in thirty-five patients. According to the duration of illness, six patients were in the early (less than 6 weeks), nineteen were in the intermediate (6 weeks to 6 months) and ten patients were in the late phase (more than 6 months) of tubercular meningitis (TBM). Six patients were in stage I, seven patients in stage II and twenty-two patients were in stage III. The overall success rate of ETV in TBM was 77 %. Sixty percent had early and seventeen percent had delayed recovery. Obstructive hydrocephalus was present in 54.3 % and 45.7 % had communicating hydrocephalus. The radiological recovery rate was 55.6 %. The outcome with a thin to transparent floor of the third ventricle was 87 %.
Singh
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Department of Neurosurgery, G. B. Pant Hospital, New Delhi, India. drdaljit@hotmail.com
Sachdev
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Singh
A K
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Sinha
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D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D006801:Humans; D006849:Hydrocephalus / Q000000981:diagnostic imaging / Q000382:microbiology* / Q000601:surgery*; D007223:Infant; D044583:Neuroendoscopy; D011446:Prospective Studies; D011859:Radiography; D020127:Recovery of Function; D012720:Severity of Illness Index; D020542:Third Ventricle / Q000000981:diagnostic imaging / Q000601:surgery*; D016896:Treatment Outcome; D014390:Tuberculosis, Meningeal / Q000150:complications*; D014696:Ventriculostomy / Q000379:methods*