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[Tuberculous meningitis with hydrocephalus: a clinical and CT study]
Zhonghua Nei Ke Za Zhi
|April 1, 1989
Summary
Tuberculous meningitis can cause hydrocephalus, leading to symptoms like headache and vomiting. Ventricular shunting offers significant improvement for patients with impaired consciousness unresponsive to medical treatment.
Area of Science:
- Neurology
- Infectious Diseases
- Neurosurgery
Background:
- Tuberculous meningitis (TBM) is a severe infection.
- Hydrocephalus is a common complication of TBM.
- CT scans are crucial for diagnosis.
Purpose of the Study:
- To report on 14 cases of TBM with hydrocephalus.
- To describe pathological features.
- To explore correlations and treatment outcomes.
Main Methods:
- Retrospective review of 14 TBM cases with hydrocephalus.
- CT imaging analysis.
- Clinical assessment and lumbar puncture data.
Main Results:
- Tuberculous exudate and ependymitis obstruct cerebrospinal fluid (CSF) pathways.
- Hydrocephalus may correlate with hyponatremia.
- Symptoms include headache, vomiting, and altered consciousness.
- Lumbar puncture pressure may relate to hydrocephalus severity.
Conclusions:
- TBM-induced hydrocephalus has specific pathological features.
- Ventricular shunting can significantly improve consciousness in non-responsive chronic TBM patients.