Use of ventriculoperitoneal shunts to treat uncontrollable intracranial hypertension in patients who have cryptococcal meningitis without hydrocephalus

被引:30
作者
Liliang, PC
Liang, CL
Chang, WN
Lu, K
Lu, CH
机构
[1] Kaohsiung Med Ctr, Chang Gung Mem Hosp, Dept Neurol, Niao Sung Hsiang, Kaohsiung Hsien, Taiwan
[2] Kaohsiung Med Ctr, Chang Gung Mem Hosp, Dept Neurosurg, Niao Sung Hsiang, Kaohsiung Hsien, Taiwan
关键词
D O I
10.1086/340525
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Between 1997 and 2000, 4 human immunodeficiency virus-negative patients in our institution had cryptococcal meningitis with uncontrollable intracranial hypertension. All 4 patients were treated with antifungal drugs as well as ventriculoperitoneal (VP) shunts for intracranial hypertension. Neurological deficits that were unresponsive to pharmacologic treatment were resolved by use of the VP shunt. Uncontrollable elevation of intracranial pressure associated with cryptococcal meningitis can be resolved by use of a VP shunt, even when imaging studies do not reveal hydrocephalus.
引用
收藏
页码:E64 / E68
页数:5
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