Treatment of impaired consciousness with lumbar punctures in a patient with cryptococcal meningitis and AIDS

Clin Neurol Neurosurg. 1991;93(3):257-8. doi: 10.1016/s0303-8467(05)80016-2.

Abstract

A 50 year old man with AIDS, cryptococcal meningitis and a normal CT-scan developed impaired consciousness and even deep coma associated with very high CSF pressure. After lumbar CSF drainage consciousness improved dramatically. We conclude that in patients with cryptococcal meningitis who have impaired consciousness and a normal CT scan, CSF drainage to improve the level of consciousness should be considered.

Publication types

  • Case Reports

MeSH terms

  • Acquired Immunodeficiency Syndrome / complications*
  • Cerebrospinal Fluid Pressure
  • Coma / etiology
  • Coma / physiopathology
  • Coma / therapy*
  • Humans
  • Male
  • Meningitis, Cryptococcal / complications*
  • Meningitis, Cryptococcal / etiology
  • Meningitis, Cryptococcal / therapy
  • Middle Aged
  • Spinal Puncture*