Bibliographic Info
GuidelineGuidelines for the diagnosis, prevention, and management of cryptococcal disease in HIV-infected adults, adolescents and children, March 2018: supplement to the 2016 consolidated guidelines of the use of antiretroviral drugs for treating and preventing HIV infection
Year of Publication2018
Issuing InstitutionWorld Health Organization
Recommendation
Status
Updated
Managing raised intracranial pressure
- Therapeutic lumbar puncture: relieve pressure by draining a volume sufficient
to reduce the cerebrospinal fluid (CSF) pressure to <20 cm H20 or halving the baseline pressure baseline pressure if extremely high.a
- The persistence or recurrence of symptoms or signs of raised intracranial
pressure should determine the frequency of repeat therapeutic lumbar puncture. For people with persistent symptoms of raised intracranial pressure, repeat daily therapeutic lumbar puncture (with measurement of CSF opening pressure where available) and CSF drainage, if required, are recommended until the symptoms resolve or the opening pressure is normal for at least two days.