Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
9270369 | Journal of Infection | 2005 | 4 Pages |
Abstract
Raised intracranial pressure in the absence of ventricular dilatation is common in cryptococcal meningitis and associated with increased mortality. We report the case of a patient with HIV-associated cryptococcal meningitis, who developed increasing CSF pressure and visual impairment on therapy despite serial lumbar punctures. Insertion of a temporary lumbar drain controlled the opening pressure and resulted in full visual recovery. The advantages and necessary precautions with this approach are reviewed, and alternative protocols for the use of lumbar drains discussed.
Related Topics
Life Sciences
Immunology and Microbiology
Applied Microbiology and Biotechnology
Authors
Karen F. Macsween, Tihana Bicanic, Annemarie E. Brouwer, Henry Marsh, Derek C. Macallan, Thomas S. Harrison,