Ventriculoperitoneal shunt for intracranial hypertension in cryptococcal meningitis without hydrocephalus

Department of Neurology, Hadassah-Hebrew University Medical Center, Jerusalem, Israel.
Journal of Clinical Neuroscience (Impact Factor: 1.32). 06/2012; 19(8):1175-6. DOI: 10.1016/j.jocn.2012.01.008
Source: PubMed

ABSTRACT The use of a ventriculoperitoneal (VP) shunt to treat uncontrollable intracranial hypertension in patients with cryptococcal meningitis without hydrocephalus is somewhat unusual and still largely unreported. However, uncontrollable intracranial hypertension without hydrocephalus in these patients is a potentially life-threatening condition. Early diagnosis and shunt placement are essential to improve survival and neurological function. We report uncontrollable intracranial hypertension without hydrocephalus in a 23-year-old woman, which was successfully managed by VP shunt placement.

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