Neurosurgical Aspects of Cerebral Cryptococcosis
作者:
Kwan‐Hon Chan,
Kirpal Mann,
Chung Yue,
期刊:
Neurosurgery
(OVID Available online 1989)
卷期:
Volume 25,
issue 1
页码: 44-48
ISSN:0148-396X
年代: 1989
出版商: OVID
关键词: Cryptococcosis;Hydrocephalus;External ventricular drainage;Fungal infections
数据来源: OVID
摘要:
&NA;Eleven patients with raised intracranial pressure caused by cerebral cryptococcosis developed complications requiring neurosurgical operations. Two patients were fully conscious on admission, and 9 had impaired consciousness, four of whom were comatose. Seven patients were found to have hydrocephalus only. Two patients had cerebral edema initially, and 2 had cystic lesions. One of the latter developed subdural effusion. All patients eventually developed progressive hydrocephalus requiring placement of a ventriculoperitoneal shunt. Four patients were initially treated by external ventricular drainage. When external ventricular drainage was used initially, there were no associated complications; however, there was a high incidence of complications (4 of 7 patients) when a ventriculoperitoneal shunt was placed as the initial treatment. Of the 11 patients, 10 (91%) survived; of these 9 (82%) made an excellent recovery and 7 (64%) returned to their original work. The patient who died had been receiving steroid therapy for hypopituitarism. (Neurosurgery25:44‐48, 1989)
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