不伴脑膜炎的脑结核瘤临床诊治分析(附1例报告及文献复习)  

Case of Intra-cerebral Tuberculoma without Meningitis Reports and Literature Review

作　　者：顾群[1] 沈鸣华[1] 翁卿吉[1] 李小旺[1] 

机构地区：[1]浙江省湖州市第一人民医院,313000

出　　处：《中国临床神经科学》2011年第3期280-284,共5页Chinese Journal of Clinical Neurosciences

摘　　要：目的:为提高对脑结核瘤的诊断和治疗水平。方法:回顾性分析1例多发性脑结核瘤患者的临床特点、影像学表现及治疗效果。结果:该例患者脑内结核瘤呈粟粒样分布,累及大脑、小脑和脑干。抗结核治疗后病灶缩小、数目明显减少。结论:结核瘤的诊断应结合临床表现、影像学特点、实验室检查及抗结核疗效进行综合判定。药物治疗需正规、长疗程。Aim： To improve clinical diagnostic accuracy and treatment of multiple intracranial tuberculoma. Methods： The clinical, imaging and therapeutic features of 1 cases with multiple intracranial tuberculoma were analyzed retrospectively. Results： Miliary shadows of tuberculoma were revealed by MRI, and involving the brain,cerebellum and brain-stem.The lesions of tuberculoma were shrank during antituberculous chemotherapy, and the lesions number were reduced. Conclusion： The diagnosis of multiple intracranial tuberculoma depends on clinical characteristics,imaging features,laboratory examination and diagnostic treatment.Medical treatment（antituberculous chemotherapy） is efficient,but treatment regimen must be reasonable.

关 键 词：脑内结核瘤 核磁共振成像 诊断 治疗 

分 类 号：R529.3[医药卫生—内科学]