Lumbar drainage for control of raised cerebrospinal fluid pressure in cryptococcal meningitis: case report and review

被引：40

作者：

Macsween, Karen F. ^{[1
]}

Bicanic, Tihana ^{[1
]}

Brouwer, Annemarie E. ^{[1
]}

Marsh, Henry ^{[2
]}

Macallan, Derek C. ^{[1
]}

Harrison, Thomas S. ^{[1
]}

机构：

[1] St George Hosp, Div Infect Dis, Dept Cellular & Mol Med, Med Sch, London SW17 0RE, England

[2] St George Hosp, Dept Neurosurg, Med Sch, London SW17 0RE, England

来源：

JOURNAL OF INFECTION | 2005年 / 51卷 / 04期

关键词：

Cryptococcal meningitis; Lumbar drain; CSF pressure; Vision; HIV;

D O I：

10.1016/j.jinf.2005.02.010

中图分类号：

R51 [传染病];

学科分类号：

100401 ;

摘要：

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. (C) 2005 The British Infection Society. Published by Elsevier Ltd. All rights reserved.

引用

页码：E221 / E224

页数：4

共 23 条

[1]

American Association of Neuroscience Nurses, 1998, CLIN GUID SER, P1

[2] Combination antifungal therapies for HIV-associated cryptococcal meningitis: a randomised trial [J].

Brouwer, AE ;

Rajanuwong, A ;

Chierakul, W ;

Griffin, GE ;

Larsen, RA ;

White, NJ ;

Harrison, TS .

LANCET, 2004, 363 (9423) :1764-1767

[3] Clinical presentation and risk behaviors of patients with acquired immunodeficiency syndrome in Thailand, 1994-1998: Regional variation and temporal trends [J].

Chariyalertsak, S ;

Sirisanthana, T ;

Saengwonloey, O ;

Nelson, KE .

CLINICAL INFECTIOUS DISEASES, 2001, 32 (06) :955-962

[4] Bacterial meningitis associated with lumbar drains: a retrospective cohort study [J].

Coplin, WM ;

Avellino, AM ;

Kim, DK ;

Winn, HR ;

Grady, MS .

JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY, 1999, 67 (04) :468-473

[5] Morbidity and mortality in South African gold miners: Impact of untreated disease due to human immunodeficiency virus [J].

Corbett, EL ;

Churchyard, GJ ;

Charalambos, S ;

Samb, B ;

Moloi, V ;

Clayton, TC ;

Grant, AD ;

Murray, J ;

Hayes, RJ ;

De Cock, KM .

CLINICAL INFECTIOUS DISEASES, 2002, 34 (09) :1251-1258

[6] Acute foramen magnum syndrome caused by an acquired Chiari malformation after lumbar drainage of cerebrospinal fluid: Report of three cases [J].

Dagnew, E ;

van Loveren, HR ;

Tew, JA .

NEUROSURGERY, 2002, 51 (03) :823-828

[7] Subdural hematoma after thoracoabdominal aortic aneurysm repair: An underreported complication of spinal fluid drainage? [J].

Dardik, A ;

Perler, BA ;

Roseborough, GS ;

Williams, GM .

JOURNAL OF VASCULAR SURGERY, 2002, 36 (01) :47-50

[8] ELEVATED CEREBROSPINAL-FLUID PRESSURES IN PATIENTS WITH CRYPTOCOCCAL MENINGITIS AND ACQUIRED-IMMUNODEFICIENCY-SYNDROME [J].

DENNING, DW ;

ARMSTRONG, RW ;

LEWIS, BH ;

STEVENS, DA .

AMERICAN JOURNAL OF MEDICINE, 1991, 91 (03) :267-272

[9] Management of elevated intracranial pressure in patients with cryptococcal meningitis [J].

Fessler, RD ;

Sobel, J ;

Guyot, L ;

Crane, L ;

Vazquez, J ;

Szuba, MJ ;

Diaz, FG .

JOURNAL OF ACQUIRED IMMUNE DEFICIENCY SYNDROMES AND HUMAN RETROVIROLOGY, 1998, 17 (02) :137-142

[10] Diagnosis and management of increased intracranial pressure in patients with AIDS and cryptococcal meningitis [J].

Graybill, JR ;

Sobel, J ;

Saag, M ;

van der Horst, C ;

Powderly, W ;

Cloud, G ;

Riser, L ;

Hamill, R ;

Dismukes, W .

CLINICAL INFECTIOUS DISEASES, 2000, 30 (01) :47-54

← 1 2 3 →