Department of Neurology, Govt. Medical College, Kota, Rajasthan, India.
Indian J Tuberc. 2020 Apr;67(2):277-280. doi: 10.1016/j.ijtb.2020.02.007. Epub 2020 Feb 27.
Meningitis patient can present with various manifestation including hydrocephalus due to multiple reason. Diagnosis of meningitis mainly rely on CSF analysis which is usually obtained from lumbar puncture. In case of hydrocephalus CSF can be obtain from ventricles during VP shunt operation. Sometimes ventricular CSF can be normal in meningitis patient while lumbar CSF shows abnormality. Possible mechanisms behind this phenomenon are discussed here. Patients who present with hydrocephalus and have normal Ventricular CSF should investigated with lumbar CSF analysis in a view of delay in diagnosis and treatment.
脑膜炎患者可能因多种原因出现脑积水等多种表现。脑膜炎的诊断主要依赖于脑脊液分析，通常通过腰椎穿刺获得。在脑积水的情况下，CSF 可以在 VP 分流手术期间从脑室中获得。有时，脑膜炎患者的脑室 CSF 可能正常，而腰椎 CSF 异常。这里讨论了这种现象背后的可能机制。对于出现脑积水且脑室 CSF 正常的患者，应进行腰椎 CSF 分析，以避免诊断和治疗延误。
