临床神经病学杂志2012,Vol.25Issue(5):375-377,3.
粟粒性结核性脑膜脑炎的临床及影像学特点(附2例报告)
Clinical and imaging features of miliary tuberculosis meningoencephalitis (report of 2 cases)
蒋祝昌 1邓珊 1陈仕检1
作者信息
- 1. 545005柳州,广西医科大学第四附属医院神经内科
- 折叠
摘要
Abstract
Objective To investigate the clinical and imaging features of miliary tuberculosis meningoencephalitis. Methods The clinical data of 2 patients with miliary tuberculosis meningoencephalitis were analyzed retrospectively. Results There was one male patient and one female patient in this group, the onset age was 45 and 76 years old respectively, and the tuberculosis course was 1-5 years. The main clinical manifestations were fever and headache with acute onset and active pulmonary tuberculosis, and 1 case also complicated with thoracic spine tuberculosis. MRI examination showed some miliary tuberculosis lesions with similar size at the meningeal and intraparenchymal, and the lesions were enhanced with the enhanced scanning. After the anti-tuberculosis treatment for 1 month, the reexamination of MRI showed that the lesions were disappeared. Conclusions Patients with miliary tuberculosis meningoencephalitis are usually with active tuberculosis. MRI examination showed some miliary tuberculosis lesions intracranial and the lesions enhanced with the enhanced scanning is the characteristic imaging manifestation. The anti-tuberculosis treatment is effective.关键词
粟粒性结核性脑膜脑炎/临床特点/影像学Key words
miliary tuberculosis meningoencephalitis/ clinical feature/ imaging分类
医药卫生引用本文复制引用
蒋祝昌,邓珊,陈仕检..粟粒性结核性脑膜脑炎的临床及影像学特点(附2例报告)[J].临床神经病学杂志,2012,25(5):375-377,3.