OBJECTIVE: To decrease intracranial pressure rapidly and cure the secondary hydrocephalus of tuberculous meningitis. METHODS: Every case was drained at the frontal horn of lateral ventricle of non-predominant cerebral hemisphere, injected the mixture of 100 mg isoniazid and 2 mg dexamethasone into the lateral ventricle through ventricular drainage tube once every two days or once every day in some severe cases. RESULTS: The high intracranial pressure of 23 cases suffered from tuberculous meningitis were immediately decreased to normal level. The symptoms of 8 cases complicated with brain hernia were quickly improved. The cerebrospinal fluid became normal within 2-4 weeks after lateral ventricular drug injection. CONCLUSIONS: Lateral ventricular drainage and drug injection can obtain good result and provide a new approach to treatment of secondary hydrocephalus cases suffered from tuberculous meningitis.
OBJECTIVE: To decrease intracranial pressure rapidly and cure the secondary hydrocephalus of tuberculous meningitis. METHODS: Every case was drained at the frontal horn of lateral ventricle of non-predominant cerebral hemisphere, injected the mixture of 100 mg isoniazid and 2 mg dexamethasone into the lateral ventricle through ventricular drainage tube once every two days or once every day in some severe cases. RESULTS: The high intracranial pressure of 23 cases suffered from tuberculous meningitis were immediately decreased to normal level. The symptoms of 8 cases complicated with brain hernia were quickly improved. The cerebrospinal fluid became normal within 2-4 weeks after lateral ventricular drug injection. CONCLUSIONS: Lateral ventricular drainage and drug injection can obtain good result and provide a new approach to treatment of secondary hydrocephalus cases suffered from tuberculous meningitis.