Timing of shunt surgery in childhood tuberculous meningitis with hydrocephalus

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dc.contributor.authorKemaloglu, S
dc.contributor.authorÖzkan, Ü
dc.contributor.authorBukte, Y
dc.contributor.authorCeviz, A
dc.contributor.authorÖzates, M
dc.date.accessioned2024-04-24T17:12:20Z
dc.date.available2024-04-24T17:12:20Z
dc.date.issued2002
dc.departmentDicle Üniversitesien_US
dc.description.abstractHydrocephalus is a common complication of tuberculous meningitis (TBM) in children. The aims of this study are to review our experience of hydrocephalus in childhood TBM and to evaluate the effect of the timing of ventriculoperitoneal shunting (VPS) on the final outcome. In this study, 156 patients with TBM and hydrocephalus were reviewed retrospectively between 1990 and 2000. Patients' ages ranged from 6 months to 15 years, with a mean age of 4.1 years. There were 85 boys, and the male-to-female ratio was 1.19:1.0. Sixty-two percent of the children were younger than 6 years old. VPS was performed 2 days after the diagnosis in 100 patients, and in the remaining 56 patients, 3 weeks after the diagnosis. The average follow-up period was 8.5 months. Good recovery or minor sequelae was seen in 82 patients (52.6%), and 51 died (12.3%). The timing of the VPS procedure and cerebral complications had an effect on the final outcome. Early VPS gave a better outcome in mild and moderate hydrocephalus (p = 0.040). This study has shown that early surgical procedure for mild/moderate hydrocephalus has a positive effect on the morbidity and mortality of hydrocephalus in childhood TBM (p = 0.014, p = 0.040, respectively). In severe hydrocephalus, there was a tendency for early shunting to have a positive effect on morbidity, although this did not reach statistical significance. Copyright (C) 2002 S. Karger AG, Basel.en_US
dc.identifier.doi10.1159/000065398
dc.identifier.endpage198en_US
dc.identifier.issn1016-2291
dc.identifier.issn1423-0305
dc.identifier.issue4en_US
dc.identifier.pmid12372912
dc.identifier.scopus2-s2.0-0036424315
dc.identifier.scopusqualityQ3
dc.identifier.startpage194en_US
dc.identifier.urihttps://doi.org/10.1159/000065398
dc.identifier.urihttps://hdl.handle.net/11468/17937
dc.identifier.volume37en_US
dc.identifier.wosWOS:000178707300005
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherKargeren_US
dc.relation.ispartofPediatric Neurosurgery
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectTuberculous Meningitisen_US
dc.subjectHydrocephalusen_US
dc.subjectChilden_US
dc.subjectVentriculoperitoneal Shuntsen_US
dc.subjectTimingen_US
dc.titleTiming of shunt surgery in childhood tuberculous meningitis with hydrocephalusen_US
dc.titleTiming of shunt surgery in childhood tuberculous meningitis with hydrocephalus
dc.typeArticleen_US

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