Lumbar drainage for control of raised cerebrospinal fluid pressure in cryptococcal meningitis: case report and review.
until further notice
SourceJournal of Infection, 51, 4, (2005), pp. e221-4
Article / Letter to editor
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Journal of Infection
SubjectEBP 3: Effective Primary Care and Public Health; N4i 3: Poverty-related infectious diseases; UMCN 4.1: Microbial pathogenesis and host defense
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.
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