2.A case of HIV negative cryptococcal meningitis with antiphospholipid syndrome.
Jing ZHAO ; Xiaomei WU ; Zhonghua HUANG ; Jie ZHANG
Journal of Central South University(Medical Sciences) 2021;46(4):438-443
Cryptococcal meningitis has become the largest cause for the death of infectious diseases in the central nervous system infectious disease worldwide. Most patients with cryptococcal meningitis have AIDS, autoimmune diseases, hematologic malignancies, and some other relevant diseases. It is mainly caused by infection with
Antiphospholipid Syndrome/complications*
;
Cryptococcus neoformans
;
Female
;
HIV Infections
;
Humans
;
Meningitis, Cryptococcal/complications*
;
Middle Aged
;
Stroke
3.Clinical analysis of otogenic extracranial and intracranial complications.
Chunmei HU ; Gang HE ; Chuanyu LIANG
Journal of Clinical Otorhinolaryngology Head and Neck Surgery 2015;29(10):903-905
OBJECTIVE:
To study the clinical feature and treatment of extracranial and intracranial complications caused by otitis media.
METHOD:
Three hundred and twenty patients of acute and chronic otitis media were admitted to our department between 2005 and 2014. Among them, 34 patients were diagnosed with extracranial and intracranial complications. The clinical features and treatment outcome were retrospectively studied. Of the 34 patients associated with complications, 25 had a single complication,8 had two complications and 1 had three complications. Complications included labyrinthitis in 14 cases, facial paralysis in 11, postauricular subperiosteal abscess in 6, Bezold abscess in 1, thrombophlebitis of sigmoid sinus in 2, otitis meningitis in land otogenic brain abscess in 8.
RESULT:
Thirty-three patients were cured or improved and 1 patient died.
CONCLUSION
Due to the widespread use of antibiotics, the clinical manifestations of extracranial and intracranial complications of otitis media become more hidden and atypical. The surgery is the primary treatment method.
Brain Abscess
;
complications
;
Chronic Disease
;
Facial Paralysis
;
complications
;
Humans
;
Labyrinth Diseases
;
complications
;
Mastoiditis
;
complications
;
Meningitis
;
complications
;
Otitis Media
;
complications
;
physiopathology
;
Retrospective Studies
;
Treatment Outcome
4.Chronic suppurative otitis media induced subarachnoid hemorrhage: case analysis.
Guannan WANG ; Wenqiang YANG ; Yi ZHANG
Journal of Clinical Otorhinolaryngology Head and Neck Surgery 2012;26(16):760-762
We present a case of subarachnoid hemorrhage induced by chronic suppurative otitis media and discuss the possible mechanism here. Chronic suppurative otitis media is a common suppurative inflammation of middle ear, which can cause sorts of extracranial and intracranial complications in the situation of lower resistance or higher virulence. However, the condition of subarachnoid haemorrhage caused by chronic suppurative otitis media is quite rare. According to this case and previously published articles, we consider that meningitis may be the main reason of subarachnoid hemorrhage induced by chronic suppurative otitis media.
Chronic Disease
;
Ear, Middle
;
Female
;
Humans
;
Meningitis
;
complications
;
Middle Aged
;
Otitis Media, Suppurative
;
complications
;
Subarachnoid Hemorrhage
;
complications
5.Meningitis Due to Bacillus Anthracis.
Saban GURCAN ; Filiz AKATA ; Figen KULOGLU ; Sevinc ERDOGAN ; Murat TUGRUL
Yonsei Medical Journal 2005;46(1):159-160
The first case of haemorrhagic meningitis due to Bacillus anthracis in the European part of Turkey is reported here. B. anthracis, sensitive to penicillin, was isolated from the cerebrospinal fluid and blood cultures. Although appropriate therapy was administered, the patient died two days after hospitalization.
Adult
;
Anthrax/*complications
;
*Bacillus anthracis
;
Fatal Outcome
;
Humans
;
Male
;
Meningitis, Bacterial/*microbiology
;
Subarachnoid Hemorrhage/*microbiology
6.Clinical Analysis of Brachytherapy Using Iodine-125 and Iridium-192 for the Treatment of Intracranial Malignant Gliomas.
Kyung Gi CHO ; Sang Sup CHUNG ; Young Su KIM ; Joong Uhn CHOI ; Kyu Chang LEE ; Su Kon KIM ; Chang Ok SUH
Journal of Korean Neurosurgical Society 1992;21(4):394-404
Twenty-nine patients haboring primary or recurrent malignant gliomas were treated with direct implantation of radioactive sources into the tumor in afterlozded, removable catheters using stereotatic technique between November 1987 and October 1990. Indine-125(I-125) was implanted in 22 patients and high dose rate(HDR) Iridium-192(Ir-192) in 7 patients. All patients had been treated with external radiation and most had been treated with chemotherapeutic agents. one or more sources were placed in each tumor to deliver 5000-8000 cGy to the tumor's periphery for I-125 and 3000 cGy for HDR Ir-192. Eleven of 13 patients with glioblastoma multiforme were alive at 35 weeks whose mean survival was 74 weeks, and remained two were expired at 35 and 78 weeks, respectively. All 5 patients with anaplastic astrocytoma were alive at 39 weeks whose mean survival was 74 weeks. Five of 9 recurrent blioblastoma were alive at 22 weeks whose mean survival was 44 weeks, and remained three were expired at 13, 17 and 22 weeks respectively. All two patients with anaplastic astrocytoma were alive at 22 and 52 weeks, respectively. Four patients with deep seated analphastic astrocytoma(3 in the thalamus and 1 in the third ventricle) were treated successfully by brachytheray without any surgical morbidity and mortality and they were still alive 38, 48, 74 and 123 weeks after brachytherapy. There were few minor postoperative complications including 3 meningitis. 2 leak of cerebrospinal fluid and 3 radiation necrosis without any mortality. The authors conclude that the brachytherapy with temporary implanted I-125 or Ir-192 sources may provide long-term survial in selected patients with primary or recurrent malignant gliomas.
Astrocytoma
;
Brachytherapy*
;
Catheters
;
Cerebrospinal Fluid
;
Glioblastoma
;
Glioma*
;
Humans
;
Meningitis
;
Mortality
;
Necrosis
;
Postoperative Complications
;
Thalamus
10.Cryptococcal Meningitis Presenting with Isolated Sixth Cranial Nerve Palsy in a Patient with Systemic Lupus Erythematosus.
Seung Ki KWOK ; Soo Hong SEO ; Ji Hyeon JU ; Chong Hyeon YOON ; Soo Chul PARK ; Bum Soo KIM ; Ho Youn KIM ; Sung Hwan PARK
Journal of Korean Medical Science 2008;23(1):153-155
Cryptococcal meningitis is a rare complication of systemic lupus erythematosus (SLE). The nonspecific neurologic findings associated with this infection delays accurate diagnosis because initial neuropsychiatric manifestations of SLE are in instances indistinguishable from that of crytococcal meningitis. We report a case of cryptococcal meningitis presenting with unilateral sixth cranial nerve palsy in a male patient with SLE, which was successfully treated with antifungal agents.
Abducens Nerve Diseases/*etiology
;
Adult
;
Humans
;
Lupus Erythematosus, Systemic/*complications
;
Male
;
Meningitis, Cryptococcal/*etiology