Optic nerve sheath fenestration in cryptococcal meningitis

A patient with acquired immunodeficiency syndrome (AIDS) developed crytpococcal meningitis, complicated by papilledema and severe progressive visual loss despite medical therapy. Bilateral optic sheath fenestration resulted in significant improvement in vision and resolution of papilledema. Histopat...

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Detalles Bibliográficos
Autores principales: Milman, Tatyana, Mirani, Neena, Turbin, Roger E
Formato: Texto
Lenguaje:English
Publicado: Dove Medical Press 2008
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2694014/
https://www.ncbi.nlm.nih.gov/pubmed/19668765
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author Milman, Tatyana
Mirani, Neena
Turbin, Roger E
author_facet Milman, Tatyana
Mirani, Neena
Turbin, Roger E
author_sort Milman, Tatyana
collection PubMed
description A patient with acquired immunodeficiency syndrome (AIDS) developed crytpococcal meningitis, complicated by papilledema and severe progressive visual loss despite medical therapy. Bilateral optic sheath fenestration resulted in significant improvement in vision and resolution of papilledema. Histopathologic evaluation of the optic nerve sheath demonstrated numerous cryptococci. Optic nerve sheath fenestration may be an effective treatment method when high intracranial pressure is contributing to visual loss, even in the presence of involvement of the optic nerve sheath by the fungus.
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spelling pubmed-26940142009-08-10 Optic nerve sheath fenestration in cryptococcal meningitis Milman, Tatyana Mirani, Neena Turbin, Roger E Clin Ophthalmol Case Report A patient with acquired immunodeficiency syndrome (AIDS) developed crytpococcal meningitis, complicated by papilledema and severe progressive visual loss despite medical therapy. Bilateral optic sheath fenestration resulted in significant improvement in vision and resolution of papilledema. Histopathologic evaluation of the optic nerve sheath demonstrated numerous cryptococci. Optic nerve sheath fenestration may be an effective treatment method when high intracranial pressure is contributing to visual loss, even in the presence of involvement of the optic nerve sheath by the fungus. Dove Medical Press 2008-09 /pmc/articles/PMC2694014/ /pubmed/19668765 Text en © 2008 Milman et al, publisher and licensee Dove Medical Press Ltd. This is an Open Access article which permits unrestricted noncommercial use, provided the original work is properly cited.
spellingShingle Case Report
Milman, Tatyana
Mirani, Neena
Turbin, Roger E
Optic nerve sheath fenestration in cryptococcal meningitis
title Optic nerve sheath fenestration in cryptococcal meningitis
title_full Optic nerve sheath fenestration in cryptococcal meningitis
title_fullStr Optic nerve sheath fenestration in cryptococcal meningitis
title_full_unstemmed Optic nerve sheath fenestration in cryptococcal meningitis
title_short Optic nerve sheath fenestration in cryptococcal meningitis
title_sort optic nerve sheath fenestration in cryptococcal meningitis
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2694014/
https://www.ncbi.nlm.nih.gov/pubmed/19668765
work_keys_str_mv AT milmantatyana opticnervesheathfenestrationincryptococcalmeningitis
AT miranineena opticnervesheathfenestrationincryptococcalmeningitis
AT turbinrogere opticnervesheathfenestrationincryptococcalmeningitis

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