Optic nerve sheath fenestration in cryptococcal meningitis.

Abstract

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.

• Authors: Tatyana Milman, Neena Mirani, Roger E Turbin
• Journal: Clinical ophthalmology (Auckland, N.Z.) (Clin Ophthalmol) Vol. 2 Issue 3 Pg. 637-9 (Sep 2008) ISSN: 1177-5467 [Print] New Zealand
• PMID: 19668765 (Publication Type: Case Reports)