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Progressive intracranial hypertension and cerebral hypoperfusion in a fatal case of cerebral aspergilloma

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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.

OriginalsprogEngelsk
TidsskriftBMJ Case Reports
Vol/bind2014
ISSN1757-790X
DOI
StatusUdgivet - 6 jun. 2014

Bibliografisk note

2014 BMJ Publishing Group Ltd.

ID: 236992963