Data/hora: 02/06/2024 08:21:36

Provedor de dados: | Brazilian Journal of Medical and Biological Research
País: | Brazil
Título: | Noninvasive intracranial pressure monitoring for HIV-associated cryptococcal meningitis
Autores: | Bollela,V.R.; Frigieri,G.; Vilar,F.C.; Spavieri Jr,D.L.; Tallarico,F.J.; Tallarico,G.M.; Andrade,R.A.P.; de Haes,T.M.; Takayanagui,O.M.; Catai,A.M.; Mascarenhas,S.
Data: | 2017-01-01
Ano: | 2017
Palavras-chave: | Brain diseases; Intracranial hypertension; AIDS-related opportunistic infections; Cryptococcus neoformans; Monitoring.
Resumo: | Mortality and adverse neurologic sequelae from HIV-associated cryptococcal meningitis (HIV-CM) remains high due to raised intracranial pressure (ICP) complications. Cerebrospinal fluid (CSF) high opening pressure occurs in more than 50% of HIV-CM patients. Repeated lumbar puncture with CSF drainage and external lumbar drainage might be required in the management of these patients. Usually, there is a high grade of uncertainty and the basis for clinical decisions regarding ICP hypertension tends to be from clinical findings (headache, nausea and vomiting), a low Glasgow coma scale score, and/or fundoscopic papilledema. Significant neurological decline can occur if elevated CSF pressures are inadequately managed. Various treatment strategies to address intracranial hypertension in this setting have been described, including: medical management, serial lumbar punctures, external lumbar and ventricular drain placement, and either ventricular or lumbar shunting. This study aims to evaluate the role of a non-invasive intracranial pressure (ICP-NI) monitoring in a critically ill HIV-CM patient.
Tipo: | Info:eu-repo/semantics/report
Idioma: | Inglês
Identificador: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-879X2017000900501
Editor: | Associação Brasileira de Divulgação Científica
Relação: | 10.1590/1414-431x20176392
Formato: | text/html
Fonte: | Brazilian Journal of Medical and Biological Research  v.50 n.9 2017
Fonte: | info:eu-repo/semantics/openAccess