Role of ventriculoperitoneal shunt in post-tuberculous meningitic 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.