Severe Non-Communicating Hydrocephalus with Meningitis in an 8-Month-Old Infant: A Comprehensive Paediatric Case Study

Abstract

Hydrocephalus linked to meningitis is a critical neurological disorder in infants, often resulting in elevated intracranial pressure, developmental delays, and potentially fatal complications if not addressed swiftly. Infants are especially susceptible due to their underdeveloped neurological and immune systems. This case study discusses an 8-month-old male infant who was admitted to a government hospital with a 15-day history of fever and a progressively enlarging head. Neuroimaging showed significant non-communicating hydrocephalus with signs pointing to an infectious cause. Laboratory results revealed systemic inflammation. The infant also had a history of seizures from birth, poor neck control, and incomplete immunization. Treatment included broad-spectrum antibiotics, anti-edema strategies, and supportive care, leading to clinical stabilization through timely intervention. This case underscores the necessity of early diagnosis, neuroimaging, aggressive treatment, and the vital role of pediatric nursing in monitoring neurological status and preventing complications.