Progressive intracranial hypertension and cerebral hypoperfusion in a fatal case of cerebral aspergilloma
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Progressive intracranial hypertension and cerebral hypoperfusion in a fatal case of cerebral aspergilloma. / Toksvang, Linea Natalie; Plovsing, Ronni R; Berg, Ronan M G.
I: BMJ Case Reports, Bind 2014, 06.06.2014.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - Progressive intracranial hypertension and cerebral hypoperfusion in a fatal case of cerebral aspergilloma
AU - Toksvang, Linea Natalie
AU - Plovsing, Ronni R
AU - Berg, Ronan M G
N1 - 2014 BMJ Publishing Group Ltd.
PY - 2014/6/6
Y1 - 2014/6/6
N2 - We report a case of cerebral aspergilloma in a 25-year-old immunoincompetent man admitted to a general intensive care unit. Monitoring of intracranial pressure was instigated and revealed hour-long epochs of severe intracranial hypertension, despite a normal opening pressure, with decreases in cerebral perfusion pressure. We documented that this was associated with cerebral hypoperfusion by transcranial Doppler ultrasound. The present case illustrates that severe intracranial hypertension may evolve despite a normal opening pressure; it furthermore shows that continuous monitoring of intracranial pressure may be used to predict changes in cerebral haemodynamics in critically ill patients with neuroinfection.
AB - We report a case of cerebral aspergilloma in a 25-year-old immunoincompetent man admitted to a general intensive care unit. Monitoring of intracranial pressure was instigated and revealed hour-long epochs of severe intracranial hypertension, despite a normal opening pressure, with decreases in cerebral perfusion pressure. We documented that this was associated with cerebral hypoperfusion by transcranial Doppler ultrasound. The present case illustrates that severe intracranial hypertension may evolve despite a normal opening pressure; it furthermore shows that continuous monitoring of intracranial pressure may be used to predict changes in cerebral haemodynamics in critically ill patients with neuroinfection.
KW - Adult
KW - Brain Ischemia/diagnostic imaging
KW - Cerebrovascular Circulation
KW - Fatal Outcome
KW - Humans
KW - Immunocompromised Host
KW - Intracranial Hypertension/diagnosis
KW - Leukemia, Prolymphocytic, T-Cell/immunology
KW - Male
KW - Monitoring, Physiologic
KW - Mycetoma/complications
KW - Neuroaspergillosis/complications
KW - Ultrasonography, Doppler, Transcranial
U2 - 10.1136/bcr-2013-201813
DO - 10.1136/bcr-2013-201813
M3 - Journal article
C2 - 24907204
VL - 2014
JO - BMJ Case Reports
JF - BMJ Case Reports
SN - 1757-790X
ER -
ID: 236992963