title: Endoscopic third ventriculostomy in post-tubercular meningitic hydrocephalus: a preliminary report.
abstract: 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 %.
authors.affiliation: Department of Neurosurgery, G. B. Pant Hospital, New Delhi, India. drdaljit@hotmail.com
authors.forename: D
authors.initials: D
authors.lastname: Singh
authors.forename: V
authors.initials: V
authors.lastname: Sachdev
authors.forename: A K
authors.initials: AK
authors.lastname: Singh
authors.forename: S
authors.initials: S
authors.lastname: Sinha
mesh_terms: 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*