PT  - JOURNAL ARTICLE
AU  - C T Tan
TI  - Intracranial hypertension causing visual failure in cryptococcus meningitis.
AID  - 10.1136/jnnp.51.7.944
DP  - 1988 Jul 01
TA  - Journal of Neurology, Neurosurgery & Psychiatry
PG  - 944--946
VI  - 51
IP  - 7
4099  - http://jnnp.bmj.com/content/51/7/944.short
4100  - http://jnnp.bmj.com/content/51/7/944.full
SO  - J Neurol Neurosurg Psychiatry1988 Jul 01; 51
AB  - Thirty four patients with cryptococcal meningitis seen in the University of Malaya medical centre since 1980 were reviewed. Eleven patients had bilateral papilloedema and visual impairment but eventually survived. Seven patients had intensive aggressive measures, including shunting to reduce intracranial hypertension irrespective of ventricular size shown in CT scan, and showed substantial improvement in vision. It is concluded that papilloedema and visual failure in cryptococcal meningitis reflects raised intracranial pressure and that this should be treated vigorously.