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Acta Neurochir (Wien). 2012 Dec;154(12):2267-70. doi: 10.1007/s00701-012-1506-y. Epub 2012 Oct 4.

Ventriculocholecysto shunt: a solution to recurrent shunt complications in comorbid post-tubercular hydrocephalus with tubercular adhesive peritonitis.

Author information

1
Department of Neurosurgery, Nazareth Hospital and Woodland Hospital, Shillong, Meghalaya, India. bernitl@yahoo.com

Abstract

BACKGROUND:

Tuberculosis is still a killer disease and a nightmare in developing countries. Post-tubercular hydrocephalus remains one of the most severe complications, with many diversion procedure methods. How common is the occurrence of co-morbid post tubercular hydrocephalus with tubercular peritonitis is still not known. This is a frustrating cause of repeated shunt complications and revisions.

METHODS:

We discuss the management of two cases that were the cause of nearly 50 % of our shunt revisions due to the comorbidities of post-tubercular hydrocephalus and tubercular adhesive peritonitis. We performed the ventriculocholecysto (VC) shunt. This procedure diverts CSF from the ventricular system to the gall bladder.

RESULTS:

The two children are disease free and did not require a revision in the 3.4-year follow-up period.

CONCLUSION:

The VC shunt is a simple procedure. It improved the quality of life of these children who otherwise would have had a very morbid period during shunt revisions and the active disease. These children did not require further revisions and can grow normally.

PMID:
23053281
DOI:
10.1007/s00701-012-1506-y
[Indexed for MEDLINE]
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