Use of Ventriculoperitoneal Shunts to Treat Uncontrollable Intracranial Hypertension in Patients Who Have Cryptococcal Meningitis without Hydrocephalus | Zendy

PoChou Liliang | Zendy; ChengLoong Liang | Zendy; WenNeng Chang | Zendy; Kang Lu | Zendy; ChengHsien Lu | Zendy

Open Access

Use of Ventriculoperitoneal Shunts to Treat Uncontrollable Intracranial Hypertension in Patients Who Have Cryptococcal Meningitis without Hydrocephalus

Author(s) -

PoChou Liliang,

ChengLoong Liang,

WenNeng Chang,

Kang Lu,

ChengHsien Lu

Publication year - 2002

Publication title -

clinical infectious diseases

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 3.44

H-Index - 336

eISSN - 1537-6591

pISSN - 1058-4838

DOI - 10.1086/340525

Subject(s) - medicine , hydrocephalus , cryptococcal meningitis , shunt (medical) , meningitis , intracranial pressure , cryptococcosis , central nervous system disease , surgery , anesthesia , human immunodeficiency virus (hiv) , viral disease , immunology

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.

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