Ventriculoperitoneal shunting in childhood tuberculous meningitis

dc.contributor.authorLamprecht D.
dc.contributor.authorSchoeman J.
dc.contributor.authorDonald P.
dc.contributor.authorHartzenberg H.
dc.date.accessioned2011-05-15T16:15:47Z
dc.date.available2011-05-15T16:15:47Z
dc.date.issued2001
dc.description.abstractHydrocephalus is a common complication of tuberculous meningitis (TBM) in children. In this study, 217 patients with stage II and III TBM and hydrocephalus (TBMH) were reviewed. Ventriculoperitoneal shunting (VPS) was performed in the acute stage if the hydrocephalus was non-communicating or following failed medical therapy if the hydrocephalus was communicating. Following this protocol only 65 of 217 (29.9%) patients eventually required VPS. Non-communicating hydrocephalus was present in 38 of 65 (58.5%) and communicating hydrocephalus in 27 of 65 (41.5%) of the shunted cases. These 65 cases were followed for 6 months and their outcome assessed. Good outcome or moderate disability was seen in 55.4% and 12.3% died. Different factors relating to outcome are discussed. The shunted patients in this study had a high complication rate of 32.3%, with shunt infection and shunt obstruction each occurring in 9 of 65 (13.5%) of cases. TBM complicated by hydrocephalus remains a devastating condition and VPS in these patients has a high complication rate. Identifying those patients who may be managed without shunting will save costs and reduce complications, however early VPS in patients with non-communicating hydrocephalus is still indicated.
dc.description.versionArticle
dc.identifier.citationBritish Journal of Neurosurgery
dc.identifier.citation15
dc.identifier.citation2
dc.identifier.issn02688697
dc.identifier.other10.1080/02688690020036801
dc.identifier.urihttp://hdl.handle.net/10019.1/13488
dc.subjectarticle
dc.subjectbrain ventricle peritoneum shunt
dc.subjectchild
dc.subjectcommunicating hydrocephalus
dc.subjectdisability
dc.subjectGlasgow coma scale
dc.subjecthemiparesis
dc.subjecthuman
dc.subjecthydrocephalus
dc.subjectinfant
dc.subjectmajor clinical study
dc.subjectpostoperative complication
dc.subjectpriority journal
dc.subjectshunt infection
dc.subjecttreatment outcome
dc.subjecttuberculous meningitis
dc.subjectChild
dc.subjectChild, Preschool
dc.subjectFollow-Up Studies
dc.subjectGlasgow Coma Scale
dc.subjectHumans
dc.subjectHydrocephalus
dc.subjectInfant
dc.subjectTreatment Outcome
dc.subjectTuberculosis, Meningeal
dc.subjectVentriculoperitoneal Shunt
dc.titleVentriculoperitoneal shunting in childhood tuberculous meningitis
dc.typeArticle
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