KESANS : International Journal of Health and Science
Vol 5 No 12 (2026): KESANS: International Journal of Health and Science

Functional Recovery After Neurorehabilitation and Ventriculoperitoneal Shunting in Pediatric Tuberculous Meningitis-Associated Hydrocephalus: A Case Report

M Azhadi Rahmadani (Physical Medicine and Rehabilitation, Faculty of Medicine, Universitas Padjadjaran, Indonesia)
Marietta Shanti Prananta (Physical Medicine and Rehabilitation, Faculty of Medicine, Universitas Padjadjaran, Indonesia)
Tertianto Prabowo (Physical Medicine and Rehabilitation, Faculty of Medicine, Universitas Padjadjaran, Indonesia)
Vitriana Vitriana (Physical Medicine and Rehabilitation, Faculty of Medicine, Universitas Padjadjaran, Indonesia)



Article Info

Publish Date
16 Sep 2026

Abstract

Introduction: Tuberculous meningitis in children may cause hydrocephalus and neurological disability despite treatment, while evidence on rehabilitation after ventriculoperitoneal shunting remains limited. Objective: To describe functional recovery following multidisciplinary neurorehabilitation in a child with tuberculous meningitis-associated hydrocephalus after ventriculoperitoneal shunting. Case Report: A case report was conducted in a 9-year-old boy with grade II tuberculous meningitis, communicating hydrocephalus, bilateral lower-limb weakness, and urinary retention. The rehabilitation program included progressive resistance exercise, transfer and mobility training, gait training, dressing training, and bladder management. Results and Discussion: Initially, lower-limb muscle strength was approximately 3/5, and the patient required wheelchair mobility and intermittent catheterization. Following rehabilitation, strength improved to 4/5, with progression to standing, walker-assisted ambulation, independent transfers, and spontaneous urination, allowing discontinuation of catheterization. Conclusions: Multidisciplinary, goal-directed neurorehabilitation combined with bladder management may support recovery of mobility, self-care, and urinary function in children with tuberculous meningitis-associated hydrocephalus after ventriculoperitoneal shunting

Copyrights © 2026






Journal Info

Abbrev

kesans

Publisher

Subject

Chemistry Health Professions Medicine & Pharmacology Physics Public Health

Description

KESANS : International Journal of Health and Science provides a means for ongoing discussion of the relevant issues that fall within the focus and scope of the journal that can be examined empirically. This journal publishes research articles in the medicine, Nursing, Midwifery, Public Health, ...