Endoscopic third ventriculostomy in tuberculous meningitis with hydrocephalus-An Indian experience
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چکیده
IntroductionHydrocephalus is one of the commonest complications of tuberculous meningitis (TBM). Endoscopic third ventriculostomy (ETV) has evolved as an alternative to shunt surgeries for obstructive hydrocephalus in TBM. It offers the opportunity to keep the patient free of foreign material and its associated complications. MethodsA retrospective study was carried out from July 2014 to June 2016 at Pt. B D Sharma PGIMS, Haryana, India. Fifteen patients with TBM induced hydrocephalus were included in this study. ResultsThere were 11 males and 4 females. Eighty percent patients had a modified Vellore grade of 1 or 2. Improvement was seen in 53% patients post ETV. Six patients had to undergo ventriculo-peritoneal shunt surgery due to failure of ETV. There was no mortality in our study. ConclusionETV is a reasonably successful intervention in patients with obstructive HCP due to TBM. In centers with the necessary expertise, ETV should be the choice over shunt surgery.
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