Case-Based Modules > Case 4 > Stage 4

Sorry! The electrographic record hasn't been impressive. It's true that you can have scalp-negative seizures and thus status. However, there's another more likely etiology here to consider. What other dangerous physiologic process could an atypical infectious meningoencephalitis (like Cryptococcosis) trigger that would cause episodic signs/symptoms like pupillary abnormalities and depressed mentation? Is there something else that this process-- of leptomeningeal spread-- could do from a physiologic standpoint to the brain that could also cause episodic signs/symptoms? Something about pressure maybe?

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