Endoscopy for Tuberculous Hydrocephalus

Overview

Journal Childs Nerv Syst

Specialty Pediatrics

Date 2006 Oct 24

PMID 17058085

Citations 9

Authors

A A Figaji

A G Fieggen

J C Peter

Affiliations

Soon will be listed here.

Abstract

Introduction: The role of endoscopy in hydrocephalus due to infectious aetiology is unclear. Tuberculous hydrocephalus is a useful model to study because it presents particular challenges and the pathophysiology of the cerebrospinal fluid disturbance is well known.

Materials And Methods: We present the results of 24 endoscopic operations in tuberculous meningitis.

Result: Endoscopic third ventriculostomy (ETV) was attempted in 17 patients: seven were successful, five failed, and five were not completed due to abnormal anatomy. There were five fenestration procedures, three of which were successful. Endoscopic biopsy of two tuberculomas failed to yield a bacteriological result. These operations were more difficult to perform than for hydrocephalus due to other aetiologies.

Conclusion: Although ETV is technically possible in this situation, it is imperative that the patients are adequately selected for the procedure to ensure optimal treatment and that the surgeon has experience with difficult cases.

Citing Articles

Factors associated with in-hospital mortality in HIV-infected children treated for tuberculous meningitis hydrocephalus.

Enicker B, Aldous C Childs Nerv Syst. 2023; 40(3):695-705.

PMID: 37964056 PMC: 10891234. DOI: 10.1007/s00381-023-06205-7.

The Outcome of Surgical Intervention (Ventriculoperitoneal Shunt and Endoscopic Third Ventriculostomy) in Patients With Hydrocephalus Secondary to Tuberculous Meningitis: A Systematic Review.

Chalasani R, Goonathilake M, Waqar S, George S, Jean-Baptiste W, Yusuf Ali A Cureus. 2022; 14(5):e25317.

PMID: 35637922 PMC: 9131440. DOI: 10.7759/cureus.25317.

Role of Surgical Procedures (VP Shunt and ETV) in Tuberculous Meningitis with Hydrocephalus (TBMH): A Systematic Review.

Bhushan B, Sardana V, Shringi P, Yadav S, Maheshwari D J Pediatr Neurosci. 2022; 16(2):106-112.

PMID: 35018177 PMC: 8706600. DOI: 10.4103/jpn.JPN_286_20.

Success and complication rates of endoscopic third ventriculostomy for tuberculous meningitis: a systematic review and meta-analysis.

Legaspi G, Espiritu A, Omar 2nd A Neurosurg Rev. 2020; 44(4):2201-2209.

PMID: 32974813 DOI: 10.1007/s10143-020-01396-y.

Checklists to guide the supportive and critical care of tuberculous meningitis.

Donovan J, Rohlwink U, Tucker E, Hiep N, Thwaites G, Figaji A Wellcome Open Res. 2020; 4:163.

PMID: 31984242 PMC: 6964359. DOI: 10.12688/wellcomeopenres.15512.2.

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