Optic nerve sheath fenestration in cryptococcal meningitis
Tatyana Milman1, Neena Mirani1,2, Roger E Turbin11Ophthalmology Department, Institute of Ophthalmology and Visual Science, 2Pathology Department, University Hospital, New Jersey Medical School, Newark, NJ, USAAbstract: A patient with acquired immunodeficiency syndrome (AIDS) developed crytpococcal m...
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Dove Medical Press
2008
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oai:doaj.org-article:cd9f2dde65ec4b8f9d4fd2a3bf8cfa062021-12-02T07:21:32ZOptic nerve sheath fenestration in cryptococcal meningitis1177-54671177-5483https://doaj.org/article/cd9f2dde65ec4b8f9d4fd2a3bf8cfa062008-10-01T00:00:00Zhttp://www.dovepress.com/optic-nerve-sheath-fenestration-in-cryptococcal-meningitis-a2383https://doaj.org/toc/1177-5467https://doaj.org/toc/1177-5483Tatyana Milman1, Neena Mirani1,2, Roger E Turbin11Ophthalmology Department, Institute of Ophthalmology and Visual Science, 2Pathology Department, University Hospital, New Jersey Medical School, Newark, NJ, USAAbstract: 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.Keywords: optic nerve sheath, cryptococcal, meningitis, fenestration Tatyana MilmanNeena MiraniRoger E TurbinDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2008, Iss Issue 3, Pp 637-639 (2008) |
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Ophthalmology RE1-994 |
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Ophthalmology RE1-994 Tatyana Milman Neena Mirani Roger E Turbin Optic nerve sheath fenestration in cryptococcal meningitis |
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Tatyana Milman1, Neena Mirani1,2, Roger E Turbin11Ophthalmology Department, Institute of Ophthalmology and Visual Science, 2Pathology Department, University Hospital, New Jersey Medical School, Newark, NJ, USAAbstract: 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.Keywords: optic nerve sheath, cryptococcal, meningitis, fenestration |
format |
article |
author |
Tatyana Milman Neena Mirani Roger E Turbin |
author_facet |
Tatyana Milman Neena Mirani Roger E Turbin |
author_sort |
Tatyana Milman |
title |
Optic nerve sheath fenestration in cryptococcal meningitis |
title_short |
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_sort |
optic nerve sheath fenestration in cryptococcal meningitis |
publisher |
Dove Medical Press |
publishDate |
2008 |
url |
https://doaj.org/article/cd9f2dde65ec4b8f9d4fd2a3bf8cfa06 |
work_keys_str_mv |
AT tatyanamilman opticnervesheathfenestrationincryptococcalmeningitis AT neenamirani opticnervesheathfenestrationincryptococcalmeningitis AT rogereturbin opticnervesheathfenestrationincryptococcalmeningitis |
_version_ |
1718399481669484544 |