Sequestrated lateral ventricle due to tuberculosis

Area of Science:

• Neurology
• Neurosurgery
• Infectious Diseases

Background:

• Raised intracranial pressure and neurological deficits are critical symptoms.
• Unilateral ventricular dilatation suggests an obstructive process.
• Tubercular pathology can manifest in the central nervous system.

Purpose of the Study:

• To report a rare case of isolated tubercular obstruction of the foramen of Monro.
• To discuss the pathogenesis and management of this unusual condition.
• To highlight the diagnostic challenges and treatment strategies.

Main Methods:

• Clinical presentation and neurological examination.
• Computed Tomography (CT) and Magnetic Resonance Imaging (MRI) of the brain.
• Ventriculography and Cerebrospinal Fluid (CSF) analysis.

Main Results:

• Initial CT revealed right lateral ventricle dilatation and ventriculography showed blockage of the right foramen of Monro.
• Despite shunt surgery and antitubercular drugs, symptoms recurred.
• Recurrence was linked to a sequestrated left lateral ventricle, with CSF findings suggestive of tuberculosis.

Conclusions:

• Isolated tubercular obstruction of the foramen of Monro is an exceptionally rare cause of hydrocephalus.
• Recurrence of symptoms may indicate incomplete treatment or a distinct pathological process.
• Management requires a comprehensive approach, considering both surgical and medical interventions tailored to the specific presentation.