Episodic motor posturing and unilateral oval pupil from cryptococcal meningitis

Neurology Asia

Peter Chei-way Pan¹ 

关键词: Meningitis;    fungal infections;    cryptococcal meningitis;    increased intracranial pressure;    oval pupil;   

DOI  :  

学科分类：精神健康和精神病学

来源: Association of South East Asian Nations

【 摘 要 】

Motor posturing in acutely comatose patient is suggestive of an evolving brain herniation. In the presence of a unilateral pupillary abnormality, a metabolic or drug induced coma can be excluded. Neuroimaging studies in such cases will likely reveal underlying mass or acute ventricular obstruction. We recently encountered a patient who presented in stupor with repetitive motor posturing and a transient right oval pupil to light stimulus. Surprisingly, an urgent brain CT revealed only mild global atrophy for age. Further evaluation disclosed cryptococcus meningitis as the underlying cause.

【 授权许可】

CC BY