الفهرس 
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Abstract
Introduction:. Hydrocephalus (HCP) is a critical issue particularly in pediatric neurosurgery. HCP is an active dilatation of the ventricular system of the brain resulting from inadequate passage of cerebrospinal fluid (CSF) from its point of production within the cerebral ventricles to its point of absorption into the systemic circulation. When hydrocephalus occurs following cerebral pyogenic or chronic infections, it is referred to as post-infective hydrocephalus (PIH) The aim of the work: Compare the usage of EVD vs VSGS in the management of PIH regarding efficacy, safety, mortality rates and economic burden. Patients: Patients will be divided into two groups according to the surgical approach performed. •group A: 21 patients who will be operated on by ventriculosubgaleal shunt. •group B: 21 patients who will be operated on by external ventricular drain. Methods: •History taking. •Examination and assessment: •Investigations: Radiology and laboratory. •Procedure: All patients will be assessed for post infective hydrocephalus and will be managed by ventriculosubgaleal shunt or external ventricular drain and assessment of improvement either clinically or radiologically besides noting disadvantages and advantages of each procedure. Follow-up for patients will be done. Results & Conclusion: Our findings showed no significant difference in the rate of complications between VSGS and EVD for PIH. However, the use of VSGS had a lower frequency of ICU admissions and a reduced length of hospital stay compared to EVD. VSGS emerges as a favorable and cost-effective option for the management of PIH which leads to less economic burden on patients and country’s health resources, especially in developing countries. Recommendations: Regarding the limitations in our study, we recommend: Increasing the sample size for both groups, Making the study prospective by following up the patients.