title: Unilateral hydrocephalus: atypical presentation of intracranial tuberculoma.
abstract: A 43-year-old male presented with 3-month history of low-grade fever and headache. Radiological investigations revealed unilateral hydrocephalus. Unilateral obstruction of the foramen of Monro due to chronic tubercular ependymal inflammation was suspected and endoscopic septostomy was planned. Though ventriculo-peritoneal shunt is a simple method to treat hydrocephalus, complications related to this procedure are numerous. Neuroendoscopy is a safe method to treat hydrocephalus in selected cases, and also provides access to biopsy the lesion in question. An isolated tuberculoma obstructing the foramen of Monro was seen during endoscopy. Presentation and management of this unusual tuberculoma is reported along with a review of the pertinent literature.
authors.affiliation: Sahara Hospital, Department of Neurosurgery, Lucknow, India. gkp.deepak@gmail.com
authors.forename: Deepak Kumar
authors.initials: DK
authors.lastname: Singh
authors.forename: Manu
authors.initials: M
authors.lastname: Rastogi
authors.forename: Anurag
authors.initials: A
authors.lastname: Sharma
authors.forename: Mazhar
authors.initials: M
authors.lastname: Husain
mesh_terms: D000328:Adult; D001706:Biopsy; D002552:Cerebral Ventricles / Q000382:microbiology* / Q000473:pathology; D004724:Endoscopy; D006801:Humans; D006849:Hydrocephalus / Q000000981:diagnostic imaging* / Q000382:microbiology* / Q000601:surgery; D008297:Male; D019635:Neurosurgical Procedures; D014057:Tomography, X-Ray Computed; D016862:Tuberculoma, Intracranial / Q000000981:diagnostic imaging* / Q000473:pathology* / Q000601:surgery