Department of Neurology, Hadassah-Hebrew University Medical Center, Jerusalem, Israel.
J Clin Neurosci. 2012 Aug;19(8):1175-6. doi: 10.1016/j.jocn.2012.01.008. Epub 2012 Jun 2.
The use of a ventriculoperitoneal (VP) shunt to treat uncontrollable intracranial hypertension in patients with cryptococcal meningitis without hydrocephalus is somewhat unusual and still largely unreported. However, uncontrollable intracranial hypertension without hydrocephalus in these patients is a potentially life-threatening condition. Early diagnosis and shunt placement are essential to improve survival and neurological function. We report uncontrollable intracranial hypertension without hydrocephalus in a 23-year-old woman, which was successfully managed by VP shunt placement.
在没有脑积水的隐球菌性脑膜炎患者中，使用脑室-腹腔（VP）分流术来治疗无法控制的颅内高压是有些不寻常的，而且这种情况仍然在很大程度上没有报道。然而，这些患者的没有脑积水的无法控制的颅内高压是一种潜在的危及生命的情况。早期诊断和分流术的放置对于提高生存率和神经功能至关重要。我们报告了一例 23 岁女性的没有脑积水的无法控制的颅内高压，通过 VP 分流术成功地得到了控制。
