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Child's Nervous System

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01-01-2007 | Original Paper

Endoscopy for tuberculous hydrocephalus

Authors: A. A. Figaji, A. G. Fieggen, J. C. Peter

Published in: Child's Nervous System | Issue 1/2007

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.

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Title: Endoscopy for tuberculous hydrocephalus
Authors: A. A. Figaji
A. G. Fieggen
J. C. Peter
Publication date: 01-01-2007
Publisher: Springer-Verlag
Published in: Child's Nervous System / Issue 1/2007
Print ISSN: 0256-7040
Electronic ISSN: 1433-0350
DOI: https://doi.org/10.1007/s00381-006-0195-3

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Endoscopy for tuberculous hydrocephalus

Abstract

Introduction

Materials and methods

Result

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Introduction

Materials and methods

Result

Conclusion

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