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Meningoencephalitis with refractory intracranial hypertension : Consider Decompressive craniectomy
CONCLUSIONS: DC appears to be a promising therapeutic option in cases of ME with refractory ICH. Thus, reliable criteria will have to be defined to guide us in our practice in emergency cases where DC has not been part of the therapeutic arsenal yet.PMID:34342197 | DOI:10.23736/S0390-5616.21.05397-2
Source: Journal of Neurosurgical Sciences - August 3, 2021 Category: Neurosurgery Authors: Anis Choucha Sebastien Boissonneau Nathan Beucler Thomas Graillon Stephane Ranque Nicolas Bruder Stephane Fuentes Lionel Velly Henry Dufour Source Type: research

Acute Fluctuant Neurological Symptoms in Stable Chronic Cryptococcus gattii Cryptococcomas: A Novel Disease Complication
Conclusions: Central nervous system cryptococcomas are difficult to treat, chronic infections, that in our patient had lasted over 10 years despite treatment compliance. A true cryptococcal meningitis relapse is indicated by positive cell cultures in previously sterile fluid but cryptococcoma progression is measured by serial magnetic resonance imaging or computed tomography scans. In the case of progression or relapse induction and consolidation therapy should be restarted. Our patient demonstrated neither relapse nor progression but presented with a novel disease complication of acute fluctuating neurology in chronic...
Source: The Neurologist - January 1, 2021 Category: Neurology Tags: Case Report/Case Series Source Type: research

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