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The use of prolonged external ventricular drainage to treat uncontrollable intracranial hypertension in patients with cerebral cryptococcomas without hydrocephalus is unique and remains largely unreported. This condition, however, can be life-threatening. Early diagnosis and cerebrospinal fluid diversion techniques are important and are essential to survival and neurological function. We report a case of uncontrollable intracranial hypertension without hydrocephalus in a 21-year-old man which was successfully managed by prolonged external ventricular drainage.

Prolonged external ventricular drainage to treat Cryptococcus gattii induced intracranial hypertension without hydrocephalus.