一名患有新型隐球菌性脑膜炎的患者出现模仿脑脓肿的脑室内脑脊液采集情况。

Intracerebral CSF collection mimicking cerebral abscess in a patient suffering from cryptococcal meningitis.

作者信息

Vakis Antonis, Koutentakis Dimitris, Karabetsos Dimitris, Ntouros Demosthenes

机构信息

Department of Neurosurgery, University of Crete, Medical School, Heraklion University Hospital, Voutes, 71021 Heraklion - Crete, Greece.

出版信息

J Infect. 2005 Nov;51(4):e233-5. doi: 10.1016/j.jinf.2005.02.007.

DOI:10.1016/j.jinf.2005.02.007

PMID:16291277

Abstract

We report a case of a large intracerebral CSF collection formed along the course of the catheter of an ommaya-type reservoir (Medtronic 12 mm), implanted in a patient suffered from cryptococcal meningitis in the frame of CLL. This collection was at first diagnosed as intracerebral abscess but emergency craniotomy proves clear CSF collection with no signs of infection. We describe the case and we discuss the issue of CSF pressure pathophysiology and changes in flow dynamics, to patients with cryptococcal meningitis.

摘要

我们报告了一例在慢性淋巴细胞白血病（CLL）背景下患有隐球菌性脑膜炎的患者，其沿奥马亚式储液器（美敦力12毫米）导管行程形成了一个巨大的脑内脑脊液聚集。该聚集最初被诊断为脑内脓肿，但急诊开颅手术证实为清亮的脑脊液聚集，无感染迹象。我们描述了该病例，并讨论了隐球菌性脑膜炎患者脑脊液压力病理生理学及血流动力学变化问题。