Aliyu S H, Ganesan D, Enoch D A, Watts C, Lever A M L.
Tuberculous meningitis and hydrocephalus treated successfully with a combination of immunomodulation and cerebrospinal fluid diversion.
Infect Dis J Jan ;16(1):22-4.
The management of tuberculous meningitis with hydrocephalus is complex with most centres advocating ventriculoperitoneal shunting only in the presence of raised CSF pressure. This article reports a case of tuberculous meningitis with hydrocephalus treated with a combination of early surgical and immunomodulatory therapy in addition to conventional steroids and antituberculous agents. This case demonstrates that during the early phase of tuberculous meningitis with hydrocephalus, a combined multi-disciplinary approach will help prevent neuronal injury due to progressive ventricular enlargement and inflammation.
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