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. 2023 Apr 1;27(4):248–283. doi: 10.5588/ijtld.22.0514

Table 9.

End-of-treatment clinical assessment in children with tuberculous meningitis

Specialist Post treatment assessment
Neurologist and neurodevelopmental specialist Clinical assessment and signs/symptoms screen with additional referral as needed
Seizure/epilepsy management
Medical spasticity management
6-monthly shunt assessment (for VP shunts)
Neurological cognitive and functional impairment assessment
Neuroimaging only if clinically indicated (MRI if available)
Ophthalmologist/audiologist Vision impairment, hearing loss
Physiotherapist/occupational therapist Spasticity management/transport needs (wheelchair/adapted stroller (buggy) specific for individual’s needs)
Speech therapist/surgeon/gastrointestinal specialist Feeding options including PEG with/without fundoplication; constipation management
Endocrinologist Endocrine assessment in case of thalamic injury
Dental Management of dental caries if indicated
Social worker Educational assessment, support, and school placement for learners with special educational needs

VP = ventriculoperitoneal; MRI = magnetic resonance imaging; PEG = percutaneous endoscopic gastrostomy.