重庆医学Issue(36)：4884-4886,3.DOI:10.3969/j.issn.1671-8348.2014.36.012
276例颅内结核的临床及 CT 影像学特征分析
Analysis on clinical and CT imageological features in 276 cases of intracranial tuberculosis
吕圣秀 1李春华 1戴欣 1何颖竹 1杨长萍 1舒伟强1
作者信息
- 1. 重庆市公共卫生医疗救治中心放射科 400036
- 折叠
摘要
Abstract
Objective To investigate the clinical and head CT imageological features features in 276 cases of intracranial tubercu‐losis .Methods The clinical and CT features in 276 inpatients with confirmed intracranial tuberculosis were analyzed .Results These 276 cases of intracranial tuberculosis all were complicated by pulmonary tuberculosis ,among them blood‐borne type accoun‐ted for 49 .6% ; young and middle‐aged cases were predominant (72 .5% ) ; the majority manifested by the symptoms of fever (70 .0% ) and headache(66 .2% ) ;the summer and autumn had the higher incidence rate ,which were 167 cases(80 .7% ) .The posi‐tive detection rate of head CT plain scanning was 63 .4% ,which of enhanced scanning was 98 .6% .Among them ,236(85 .5% ) cases were tuberculous meningitis lesions ,158 cases(57 .2% ) were tuberculous encephalitis ,144 cases (52 .2% ) were tuberculoma and 133 cases (48 .2% ) were tuberculous vasculitis .Conclusion The clinical menifestations of intracranial tuberculosis are atypical ,but the head CT plain scannig displays multiple abnormalities .Moreover ,the enhanced scanning increases the positive detection rate . The lesions of meninges ,brain vessels and brain parenchyma often occur together .Therefore ,the diagnosis basis should be combined with clinic ,laboratory tests and head CT ,especially the clinical application of head CT enhanced scanning should be paid attention to .关键词
颅内结核/临床/CT 诊断Key words
intracranial tuberculosis/clinical/CT diagnosis分类
医药卫生引用本文复制引用
吕圣秀,李春华,戴欣,何颖竹,杨长萍,舒伟强..276例颅内结核的临床及 CT 影像学特征分析[J].重庆医学,2014,(36):4884-4886,3.
