Takaki Ryusuke, Hanihara Mitsuto, Natori Takahiro, Tsuchiya Mai, Kinouchi Hiroyuki, Takiyama Yoshihisa
Department of Neurology, Graduate School of Medical Scince, University of Yamanashi.
Department of Neurology, Iida Hospital.
Rinsho Shinkeigaku. 2021 Nov 24;61(11):733-738. doi: 10.5692/clinicalneurol.cn-001611. Epub 2021 Oct 16.
We report here a rare case of adult-onset multiloculated hydrocephalus (MLH) after Cryptococcal meningitis. A 63-year-old man had Cryptococcal ventriculitis in 2011, and he recovered with treatment of antimycotic drugs. However, he was admitted again because of disorientation and amnesia, and brain MRI showed dilation of the inferior horn of the left lateral ventricle. He underwent a ventriculoperitoneal shunt (VPS) for noncommunicating hydrocephalus in 2019, and the disorientation and amnesia improved. One year after the VPS, he was admitted because of urinary dysfunction and gait disturbance. Brain MRI showed dilation of the bilateral anterior horns of the lateral ventricles. He underwent an additional VPS into the space in 2020, and urinary dysfunction and gait disturbance improved. This case was supposed that the symptom in agreement with the dilated ventricle by MLH was shown.
我们在此报告一例罕见的隐球菌性脑膜炎后成人起病的多房性脑积水(MLH)病例。一名63岁男性在2011年患隐球菌性脑室炎,经抗真菌药物治疗后康复。然而,他因定向障碍和失忆再次入院,脑部MRI显示左侧脑室下角扩张。2019年他因非交通性脑积水接受了脑室腹腔分流术(VPS),定向障碍和失忆症状有所改善。VPS术后一年,他因排尿功能障碍和步态障碍入院。脑部MRI显示双侧脑室前角扩张。2020年他又在该部位进行了一次VPS,排尿功能障碍和步态障碍得到改善。该病例推测出现了与MLH导致的脑室扩张相符的症状。