TB Research

Anti-tuberculosis therapy combined with ventriculoperitoneal shunt for tuberculous meningitis combined with hydrocephalus: A case report

Chengmin Sheng, Mengqi Wang, Qiongling Bao, Wanru Guo, Hongxin Fu, Xiaomeng Li, Chenxia Zhang, Kaijin Xu

Journal of Infection and Public Health · 2025-07

Abstract

Tuberculous meningitis is a severe and potentially life-threatening form of central nervous system tuberculosis. Hydrocephalus is a critical complication and risk factor for the high mortality of tuberculous meningitis, exacerbating neurological damage and intensifying treatment. We reported a critical case of an elderly male patient with altered consciousness of consciousness who was diagnosed as tuberculous meningitis with hydrocephalus. The patient was treated with multi-drug anti-tuberculosis therapy, intracranial hypertension control, and surgical intervention consisting of external ventricular drainage and ventriculoperitoneal shunt, which successfully cured the patient.

MeSH terms

  • Hydrocephalus
  • Medicine
  • Tuberculous meningitis
  • Shunt (medical)
  • Meningitis
  • Tuberculosis
  • Surgery