Role of ventriculoperitoneal shunt in post-tuberculous meningitis hydrocephalous

ABSTRACT

Thirty-two patients with post-tuberculous meningitic hydrocephalous were admitted. Thirty were subjected to ventriculoperitoneal shunt. Diagnosis was based on CSF analysis and CT scan. Five patients at a Glasgow Coma Score of 3-7 underwent an external ventricular drainage as an initial procedure followed by shunt in 3 patients when condition improved, 17 patients who were conscious at the time of admission made good recovery as compared to 13 patients with altered consciousness who either died [5 patients], or were disabled [8 patients] even after surgery. A mortality of 22% was noted. An early detection and referral is desired to improve the prognosis