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

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 pleocytos...

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Bibliographic Details
Published in:Journal of clinical neurology (Seoul, Korea) 2007, 3(4), , pp.212-214
Main Authors: Hong, Yun-Jeong, Jung, San, Kim, Ji-Young, Kwon, Seok-Beom, Song, Ki-Bong, Hwang, Sung-Hee, Min, Yang-Ki, Kwon, Ki-Han, Lee, Byung-Chul
Format: Article
Language:English
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Case Report
신경과학
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Summary: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.
ISSN:1738-6586
2005-5013
DOI:10.3988/jcn.2007.3.4.212