ROLE OF OMMAYA RESERVOIR IN CHILDHOOD TUBERCULAR MENINGITIS WITH HYDROCEPHALUS: A PRELIMINARY STUDY

Dr Avinash Sharma; Dr. Anand Sharma; Dr. RLS Sengar; Dr. S N Iyengar

Volume : VIII, Issue : IV, April - 2018

ROLE OF OMMAYA RESERVOIR IN CHILDHOOD TUBERCULAR MENINGITIS WITH HYDROCEPHALUS: A PRELIMINARY STUDY

Dr Avinash Sharma, Dr. Anand Sharma, Dr. Rls Sengar, Dr. S N Iyengar

Abstract :

Hydrocephalus is one of the commonest complications of tuberculous meningitis (TBM) occurring in up to 85% of children with the disease. It is more severe in children than in adults. It could be either of the communicating type or the obstructive type with the former being more frequently seen. In the present series, forty consecutive cases of tubercular meningitis with ventriculomegaly were taken for study from Neurology and Neurosurgery wards, G.R. Medical collage and J.A. group of hospitals, Gwalior (M.P.) from April 2016 to October 2017. All the patients were initially treated with Omaya reservoir with the repeated percutaneous puncture to drain CSF. At the same time, both lumber and ventricular CSF studies were compared. After 3 months lumbar CSF became normal in 91.5% cases however ventricular CSF became normal only 66.5% cases. In the majority of the patient CSF culture was sterile (91.5%). In present series, 65.5% cases did not require

V–P shunt, whereas in 34.4% cases V–P shunting was performed after removal of the reservoir.