Optic Disc Elevation Secondary to Cerebral Malaria Resolves Completely With Mannitol Administration and Corresponds to Clinical Improvement

This case report describes a 14-year-old boy presenting with cerebral malaria in a resource-limited setting. The patient exhibited optic disc elevation, indicating increased intracranial pressure (ICP). Due to the unavailability of advanced neuroimaging, point-of-care ultrasound (POCUS) was employed...

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Autores principales: Douglas-Vail, Matthew, Fah, James, Cotran-Lenrow, Alexander, Pintwala, Robert C
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2023
Materias:
Emergency Medicine
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10355342/
https://www.ncbi.nlm.nih.gov/pubmed/37476140
http://dx.doi.org/10.7759/cureus.40639
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author Douglas-Vail, Matthew
Fah, James
Cotran-Lenrow, Alexander
Pintwala, Robert C
author_facet Douglas-Vail, Matthew
Fah, James
Cotran-Lenrow, Alexander
Pintwala, Robert C
author_sort Douglas-Vail, Matthew
collection PubMed
description This case report describes a 14-year-old boy presenting with cerebral malaria in a resource-limited setting. The patient exhibited optic disc elevation, indicating increased intracranial pressure (ICP). Due to the unavailability of advanced neuroimaging, point-of-care ultrasound (POCUS) was employed to assess the optic disc. After administration of a weight-based dose of mannitol, optic disc elevation resolved completely, accompanied by clinical improvement. This case highlights the potential of POCUS as a valuable tool for the assessment and management of cerebral malaria in resource-limited settings.
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spelling pubmed-103553422023-07-20 Optic Disc Elevation Secondary to Cerebral Malaria Resolves Completely With Mannitol Administration and Corresponds to Clinical Improvement Douglas-Vail, Matthew Fah, James Cotran-Lenrow, Alexander Pintwala, Robert C Cureus Emergency Medicine This case report describes a 14-year-old boy presenting with cerebral malaria in a resource-limited setting. The patient exhibited optic disc elevation, indicating increased intracranial pressure (ICP). Due to the unavailability of advanced neuroimaging, point-of-care ultrasound (POCUS) was employed to assess the optic disc. After administration of a weight-based dose of mannitol, optic disc elevation resolved completely, accompanied by clinical improvement. This case highlights the potential of POCUS as a valuable tool for the assessment and management of cerebral malaria in resource-limited settings. Cureus 2023-06-19 /pmc/articles/PMC10355342/ /pubmed/37476140 http://dx.doi.org/10.7759/cureus.40639 Text en Copyright © 2023, Douglas-Vail et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Emergency Medicine
Douglas-Vail, Matthew
Fah, James
Cotran-Lenrow, Alexander
Pintwala, Robert C
Optic Disc Elevation Secondary to Cerebral Malaria Resolves Completely With Mannitol Administration and Corresponds to Clinical Improvement
title Optic Disc Elevation Secondary to Cerebral Malaria Resolves Completely With Mannitol Administration and Corresponds to Clinical Improvement
title_full Optic Disc Elevation Secondary to Cerebral Malaria Resolves Completely With Mannitol Administration and Corresponds to Clinical Improvement
title_fullStr Optic Disc Elevation Secondary to Cerebral Malaria Resolves Completely With Mannitol Administration and Corresponds to Clinical Improvement
title_full_unstemmed Optic Disc Elevation Secondary to Cerebral Malaria Resolves Completely With Mannitol Administration and Corresponds to Clinical Improvement
title_short Optic Disc Elevation Secondary to Cerebral Malaria Resolves Completely With Mannitol Administration and Corresponds to Clinical Improvement
title_sort optic disc elevation secondary to cerebral malaria resolves completely with mannitol administration and corresponds to clinical improvement
topic Emergency Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10355342/
https://www.ncbi.nlm.nih.gov/pubmed/37476140
http://dx.doi.org/10.7759/cureus.40639
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