Characteristics and Complications in Tuberculous Meningitis Patient with Hydrocephalus that Undergone Fluid Diversion in Dr. Hasan Sadikin General Hospital, Bandung

Adriani Lawrencia Novalia, Afiat Berbudi, Ahmad Faried, Heda Melinda Nataprawira

Abstract


Objective: To describe clinical characteristics and complications of tuberculous meningitis (TBM) patients with hydrocephalus that undergone fluid diversion management.

Methods: This was a cross sectional study which involved 28 TBM patients with hydrocephalus aged 0–5 year undergone ventriculoperitoneal shunt or extraventricular drainage documented during July 2011 until July 2016 in Dr. Hasan Sadikin General Hospital, Bandung. Age, gender, head circumferences, nutritional status, classical characteristics such as sunset eye, frontal bossing, cracked pot sign, venectation, and complication such as infection, phlebitis, and exposed shunt from hospital medical records were documented.

Result: The study discovered that infant group were predominant (21/28). Some of the patients had macrocephalus (7/28) and 18 had nutrition (18/28). There were 4 patients with frontal bossing characteristics (4/28) and there was almost none with others classic hydrocephalus characteristics. This study found no complication such as infection, phlebitis and exposed shunt in TBM patients with hydrocephalus, that undergone fluid diversion therapy in Dr. Hasan Sadikin General Hospital, Bandung.

Conclusion: One of the most dominan characteristics in TBM patients with hydrocephalus was frontal bossing. Patients that undergone fluid diversion in our center did not show any surgery complications, such as infection, phlebitis or exposed shunt.

Keywords: Tuberculous meningitis, hydrocephalus, fluid diversion

Keywords


Tuberculous meningitis, hydrocephalus, fluid diversion

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