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Related Experiment Videos

Cerebrospinal fluid ascites.

Nayyar Yaqoob1, Shahid Mumtaz Abbasi, Liaqat Hussain

  • 1Department of Medicine, Fauji Foundation Hospital, Rawalpindi. nayyar21@hotmail.com

Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
|May 22, 2003
PubMed
Summary
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Cerebrospinal fluid (CSF) ascites in tuberculous meningitis is challenging. A ventriculoatrial shunt effectively resolved refractory CSF ascites in a patient unresponsive to chemotherapy.

Area of Science:

  • Neurology
  • Infectious Diseases
  • Neurosurgery

Background:

  • Hydrocephalus secondary to tuberculous meningitis presents complex management challenges.
  • Cerebrospinal fluid (CSF) ascites is a known, often refractory, complication.
  • Ventriculoperitoneal shunts are commonly used for hydrocephalus but can lead to CSF ascites.

Observation:

  • A 17-year-old patient developed significant CSF ascites.
  • Ascites resulted from CSF drainage into the peritoneal cavity via a ventriculoperitoneal shunt.
  • The condition persisted despite multiple courses of antituberculous chemotherapy.

Findings:

  • Conventional chemotherapy was ineffective in resolving the CSF ascites.
  • Surgical intervention was required to manage the refractory ascites.

Related Experiment Videos

  • Diversion of CSF away from the peritoneal cavity proved successful.

    • Implications:

    • Ventriculoatrial shunting offers a viable alternative for refractory CSF ascites in tuberculous meningitis.
    • This case highlights the importance of considering shunt revision or alternative diversion strategies.
    • Effective management of CSF ascites is crucial for patient outcomes in complicated hydrocephalus.