Can CT predict the level of CSF block in tuberculous hydrocephalus?

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dc.contributor.authorBruwer G.E.
dc.contributor.authorVan der Westhuizen S.
dc.contributor.authorLombard C.J.
dc.contributor.authorSchoeman J.F.
dc.date.accessioned2011-05-15T16:16:02Z
dc.date.available2011-05-15T16:16:02Z
dc.date.issued2004
dc.description.abstractIntroduction: Treatment of obstructive hydrocephalus in children with tuberculous meningitis (TBM) depends on the level of the cerebrospinal fluid (CSF) block. Air-encephalography is regarded as the gold standard for differentiating communicating and non-communicating hydrocephalus. Since air-encephalography involves a lumbar puncture, it carries the risk of cerebral herniation. Aim: The aim of this study was to determine whether communicating and non-communicating hydrocephalus in TBM can be differentiated by means of cranial computerised tomography (CT). Methods: A number of CT indices were measured in 50 children with communicating and 34 children with non-communicating hydrocephalus according to air-encephalographic findings. Results: The only CT finding that correlated with the type of hydrocephalus was the shape of the third ventricle. Significantly more children with non-communicating hydrocephalus had a rounded third ventricle than those with communicating hydrocephalus. Conclusion: CT is therefore not useful in determining the level of CSF block in TBM. Air-encephalography remains the most reliable way of determining the level of CSF obstruction. © Springer-Verlag 2004.
dc.description.versionArticle
dc.identifier.citationChild's Nervous System
dc.identifier.citation20
dc.identifier.citation3
dc.identifier.issn02567040
dc.identifier.other10.1007/s00381-003-0887-x
dc.identifier.urihttp://hdl.handle.net/10019.1/13603
dc.subjectarticle
dc.subjectbrain hernia
dc.subjectbrain third ventricle
dc.subjectcerebrospinal fluid flow
dc.subjectcommunicating hydrocephalus
dc.subjectcomputer assisted tomography
dc.subjectcontrolled study
dc.subjectdisease severity
dc.subjectfemale
dc.subjecthuman
dc.subjecthydrocephalus
dc.subjectimage analysis
dc.subjectlumbar puncture
dc.subjectmajor clinical study
dc.subjectmale
dc.subjectpneumoencephalography
dc.subjectpreschool child
dc.subjectpriority journal
dc.subjectreliability
dc.subjecttuberculous meningitis
dc.subjectCerebrospinal Fluid
dc.subjectChild, Preschool
dc.subjectDiagnosis, Differential
dc.subjectFemale
dc.subjectHumans
dc.subjectHydrocephalus
dc.subjectInfant
dc.subjectMale
dc.subjectPneumoencephalography
dc.subjectRadiographic Image Interpretation, Computer-Assisted
dc.subjectRetrospective Studies
dc.subjectSensitivity and Specificity
dc.subjectThird Ventricle
dc.subjectTomography, X-Ray Computed
dc.subjectTuberculosis, Meningeal
dc.titleCan CT predict the level of CSF block in tuberculous hydrocephalus?
dc.typeArticle
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