van Gemert H M, Vermeulen M
Department of Neurology, University Hospital Dijkzigt, Rotterdam, The Netherlands.
Clin Neurol Neurosurg. 1991;93(3):257-8. doi: 10.1016/s0303-8467(05)80016-2.
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.
一名50岁患有艾滋病、隐球菌性脑膜炎且CT扫描正常的男性出现意识障碍，甚至深度昏迷，同时伴有极高的脑脊液压力。经腰椎脑脊液引流后，意识显著改善。我们得出结论，对于患有隐球菌性脑膜炎且意识障碍但CT扫描正常的患者，应考虑进行脑脊液引流以改善意识水平。
