Endoscopic Third Ventriculostomy in Post-Tubercular Meningitic Hydrocephalus: A Preliminary Report

D. Singh; V. Sachdev; A. K. Singh; S. Sinha

doi:10.1055/s-2004-830183

min - Minimally Invasive Neurosurgery, Table of Contents

Minim Invasive Neurosurg 2005; 48(1): 47-52
DOI: 10.1055/s-2004-830183

Original Article

Endoscopic Third Ventriculostomy in Post-Tubercular Meningitic Hydrocephalus: A Preliminary Report

D. Singh¹ , V. Sachdev¹ , A. K. Singh¹ , S. Sinha¹

¹Department of Neurosurgery, G. B. Pant Hospital, New Delhi, India

AcknowledgementsSincere thanks go to Dr. Renuka Saha, Associate Professor, Department of Preventive and Social Medicine, Maulana Azad Medical College, New Delhi for her valuable contributions in the statistical analysis.

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 %.

Key words

Hydrocephalus - tuberculous meningitis - endoscopic third ventriculostomy

Full Text

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