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논문KCI 등재

뇌경색과 다발성 뇌신경장애로 발현된 크립토코쿠스 수막뇌염

Cryptococcal Meningoencephalitis Presenting as Cerebral Infarction and Multiple Cranial Nerve Palsies

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초록

Cryptococcosis is a global invasive mycosis associated with significant morbidity and mortality. Fever, headache and vomiting are common clinical presentations of the cryptococcal meningitis. But ischemic stroke and cranial nerve impairment are rare neurologic complications. We report a case of cryptococcal meningoencephalitis presenting as cerebral infarction and multiple cranial nerve palsies.

Abstract

Cryptococcosis is a global invasive mycosis associated with significant morbidity and mortality. Fever, headache and vomiting are common clinical presentations of the cryptococcal meningitis. But ischemic stroke and cranial nerve impairment are rare neurologic complications. We report a case of cryptococcal meningoencephalitis presenting as cerebral infarction and multiple cranial nerve palsies.

참고문헌 (7)

  1. Juhi T, "Crytococcal meningitis in a tertiary care hospital", J Med Mycol, 50, pp.95~99 (2009)
  2. Jain KK, "Imaging features of central nervous system fungal infections", Neurology India, 55, pp.241~250 (2007)
  3. Kim JY, "A study of clinical characteristics of cryptococcal meningitis: diagnosis and treatment in 38 cases", J Korean Neurol Assoc, 13, pp.298~304 (1995)
  4. Harada T, "Temporal bone histopathology in deafness due to cryptococcal meningitis", Ann Otol Rhinol Laryngol, 88, pp.630~636 (1979)
  5. Nadol JB Jr, "Hearing loss as a sequale of meningitis", Laryngoscope, 88, pp.739~755 (1978)
  6. Lan SH, "Cerebral infarction in chronic meningitis: a comparison of tuberculous meningitis and cryptococcal meningitis", QJM, 94, pp.247~253 (2001)
  7. Perfect JR, "Clinical practice guidelines for the management of cryptococcal disease: 2010 update by the Infectious Diseases Society of America", Clin Infect Dis, 50, pp.291~322 (2010)

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