Invasive pressure monitoring saves from tuberculous meningitis with fulminant generalized brain edema.
2011 | journal article. A publication with affiliation to the University of Göttingen.
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Invasive pressure monitoring saves from tuberculous meningitis with fulminant generalized brain edema.
Trendelenburg, G.; Jussen, D.; Grimmer, S.; Jakob, W.; Hiemann, N. E. & Horn, P. (2011)
Frontiers in neurology, 2 art. 69. DOI: https://doi.org/10.3389/fneur.2011.00069
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- Authors
- Trendelenburg, George; Jussen, Daniel; Grimmer, Steffen; Jakob, Wibke; Hiemann, Nicola E.; Horn, Peter
- Abstract
- We report a 57-year old female patient with a rapid and dramatic dynamic of whole brain edema caused by tuberculous meningitis. After initiation of tuberculostatic medication, general condition of the patient worsened and finally she was intubated due to a progredient loss of consciousness and respiratory insufficiency. Repeated cerebral computer tomography (CCT) revealed a global brain edema with slit ventricles and a dramatic progress of generalized brain swelling. Highly interesting, a rapid expanded regime of brain pressure monitoring and treatment according to a neurosurgical intensive standard ICP/CPP management protocol, which was complemented by the tuberculostatic therapy and high dose steroid application, dramatically improved the general conditions, so that the patient is now in a general condition which corresponds that before the occurrence of tuberculous meningitis. Thus, it is mandatory in situations with a rapid progressive brain swelling caused by bacterial meningitis to consider an intensified cerebral monitoring and stratified treatment protocol in order to avoid the devasting effects of a long lasting increase in intracranical pressure.
- Issue Date
- 2011
- Journal
- Frontiers in neurology
- ISSN
- 1664-2295
- Language
- English