Persistently elevated intracranial pressure in cryptococcal meningitis– 76 therapeutic lumbar punctures
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Date
2023Author
Jjunju, Samuel
Nuwagira, Edwin
Meya, David B.
Muzoora, Conrad
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Cryptococcal meningitis still remains the most common form of adult meningitis in sub-Saharan Africa, due to the burden of HIV/AIDS. Increased intracranial pressure (ICP) is a major complication of cryptococcosis and requires aggressive management with therapeutic lumbar punctures (LPs). In this report, we describe a patient with persistently elevated ICP who underwent 76 LPs over 46 days with good outcome. While unusual, this highlights the importance of serial therapeutic LPs.
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