Episodic motor posturing and unilateral oval pupil from cryptococcal meningitis
- Author:
Peter Chei-way PAN
1
;
Gregory Youngnam CHANG
Author Information
1. Department of Neurology, University of California Davis, Sacramento, CA, USA
- Publication Type:Case report
- Keywords:
Meningitis;
fungal infections;
cryptococcal meningitis;
increased intracranial pressure;
oval pupil
- From:Neurology Asia
2018;23(2):177-178
- CountryMalaysia
- Language:English
-
Abstract:
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.
