| Registro completo |
| Provedor de dados: |
BJMBR
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| País: |
Brazil
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| Título: |
Noninvasive intracranial pressure monitoring for HIV-associated cryptococcal meningitis
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| 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.
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| Data: |
2017-01-01
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| Ano: |
2017
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| Palavras-chave: |
Brain diseases
Intracranial hypertension
AIDS-related opportunistic infections
Cryptococcus neoformans
Monitoring
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| 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.
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| Tipo: |
Info:eu-repo/semantics/report
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| Idioma: |
Inglês
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| Identificador: |
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-879X2017000900501
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| Editor: |
Associação Brasileira de Divulgação Científica
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| Relação: |
10.1590/1414-431x20176392
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| Formato: |
text/html
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| Fonte: |
Brazilian Journal of Medical and Biological Research v.50 n.9 2017
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| Direitos: |
info:eu-repo/semantics/openAccess
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