A patient with recurrent multiloculated hydrocephalus after Cryptococcal ventriculitis

We report here a rare case of adult-onset multiloculated hydrocephalus (MLH) after Cryptococcal meningitis. A 63-year-old man had Cryptococcal ventriculitis in 2011, and he recovered with treatment of antimycotic drugs. However, he was admitted again because of disorientation and amnesia, and brain...

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Bibliographic Details
Published inRinsho Shinkeigaku Vol. 61; no. 11; pp. 733 - 738
Main Authors Takaki, Ryusuke, Hanihara, Mitsuto, Natori, Takahiro, Tsuchiya, Mai, Kinouchi, Hiroyuki, Takiyama, Yoshihisa
Format Journal Article
LanguageJapanese
Published Japan Societas Neurologica Japonica 24.11.2021
Subjects
Amnesia
Cerebral Ventriculitis - diagnostic imaging
Cerebral Ventriculitis - drug therapy
Cerebral Ventriculitis - etiology
Confusion
Cryptococcal meningoencephalitis
Encephalitis
Humans
Hydrocephalus - diagnostic imaging
Hydrocephalus - etiology
Hydrocephalus - surgery
Male
Meningitis, Cryptococcal
Middle Aged
multiloculated hydrocephalus
Myelitis
Neoplasms
septum formation
ventriculitis
ventriculitis
septum formation
Cryptococcal meningoencephalitis
multiloculated hydrocephalus
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Summary:We report here a rare case of adult-onset multiloculated hydrocephalus (MLH) after Cryptococcal meningitis. A 63-year-old man had Cryptococcal ventriculitis in 2011, and he recovered with treatment of antimycotic drugs. However, he was admitted again because of disorientation and amnesia, and brain MRI showed dilation of the inferior horn of the left lateral ventricle. He underwent a ventriculoperitoneal shunt (VPS) for noncommunicating hydrocephalus in 2019, and the disorientation and amnesia improved. One year after the VPS, he was admitted because of urinary dysfunction and gait disturbance. Brain MRI showed dilation of the bilateral anterior horns of the lateral ventricles. He underwent an additional VPS into the space in 2020, and urinary dysfunction and gait disturbance improved. This case was supposed that the symptom in agreement with the dilated ventricle by MLH was shown.
ISSN:0009-918X
1882-0654
DOI:10.5692/clinicalneurol.cn-001611