A 23-year-old male college student with hydrocephalus, after anti-TB treatment, the patient’s cerebrospinal fluid indicators were normal, but the patient’s facial expression was indifferent, his voice was low, his walking gait was unstable, his urinary urgency was not easy to control, and his intelligence was impaired, and he could only count up to 86 from 100-7 continuously, and his long-term memory was not good. After a few changes, the patient finally underwent ventriculoperitoneal shunt, and was relieved that the patient’s walking gait, facial expression, speech volume, urinary urgency, calculation power, memory, and CT and MRI all improved significantly. Zhang Daofu, Department of Internal Tuberculosis, Shandong Chest Hospital