Complete Binocular Blindness as the First Manifestation of HIV-Related Cryptococcal Meningitis.

Author: Yun Jeong HONG ¹ ; San JUNG ; Ji Young KIM ; Seok Beom KWON ; Ki Bong SONG ; Sung Hee HWANG ; Yang Ki MIN ; Ki Han KWON ; Byung Chul LEE
Author Information

1. Department of Neurology, Hallym University College of Medicine, Seoul, Korea. neurojs@hallym.ac.kr
Publication Type:Case Report
Keywords: HIV-related cryptococcal meningitis; Complete binocular blindness
MeSH: Blindness*; Cerebrospinal Fluid; Cryptococcus neoformans; HIV; Humans; Leukocytosis; Meningitis, Cryptococcal*; Middle Aged; Telescopes*
From:Journal of Clinical Neurology 2007;3(4):212-214
CountryRepublic of Korea
Language:English
Abstract: Ocular complications of HIV-related cryptococcal meningitis are reasonably common, but complete binocular blindness as the first manifestation of HIV is extremely rare. A 58-year-old man presented with binocular blindness. He experienced blurred vision for 3 days before the blindness. Mild pleocytosis was present in the cerebrospinal fluid, from which Cryptococcus neoformans was cultured. Serology revealed positivity for HIV antibody. He was treated with antifungal and antiretroviral therapy. This case indicates that HIV-related cryptococcal meningitis should be taken into consideration when determining the cause of unexpected sudden binocular blindness.