Analysis of 12 cases of non-hydrocephalus high intracranial pressure of lumboperitoneal shunt in the treatment of non AIDS patients with cryptococcus neoformans meningitis
CAO Yang
WANG Qinghe
FENG Enshan
LI Peiliang
LI Yanbin
SUN Jidian
Abstract：Objective To analyzes the lumboperitoneal shunt in the treatment of AIDS complicated with cryptococcus neoformans meningitis caused by non-hydrocephalus high intracranial pressure .Methods From October 2011 to December 2014 , 12 AIDS patients complicated with new cryptococcus neoformans meningitis caused by non -hydrocephalus and increased intracranial pressure were enrolled , with medical conservative treatment to reduce intracranial pressure invalid , used lumbo-peritoneal shunt for treatment and at the same time with regular anti fungal treatment , the curative effect were followed up .Re-sults 12 patients were 11males and 1 female, aged 18 to 45 years, median age was 26 years old, the course of disease was 3 d to 1 month.12 cases were found with increased intracranial pressure symptoms , among them,10 cases with headache , dizziness in 8 cases, 8 cases with anorexia and nausea , frequent vomiting in 1 cases, diplopia in 2 cases, hearing loss in 3 ca-ses, decreased visual acuity in 8 cases;8 cases with intermittent , median or low fever;psychiatric symptoms in 1 case.After lumbar peritoneal shunt treatment , high intracranial pressure symptoms disappeared in 9 cases, 3 cases were improved, and without causing cryptococcus neoformans infection spread .Conclusion Lumboperitoneal shunt can significantly improve clini-cal symptoms of AIDS patients complicated with cryptococcus neoformans meningitis caused by non -hydrocephalus high in-tracranial pressure .
Keywords：AIDSCryptococcus neoformans meningitisLumboperitoneal shuntNon-hydrocephalus high intracranial pressure
Publication Date：2015-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 1225-1227 )