多发性脑结核瘤13例临床分析

目的 探讨多发性脑结核瘤的临床特点及诊断治疗方法。 方法 回顾性分析2004年1月-2007年12月诊治的13例多发性脑结核瘤。 结果 患者的主要临床表现以头痛、发热和呕吐居多，头痛11例，发热10例，呕吐7例。脑脊液压力增高8例，细胞数异常11例。10例合并颅外结核。颅脑MRI检查中8例报告为T1W1等信号，T2W1为低信号。3例开颅脑组织活检证实为结核性肉芽肿。采用强化抗结核、激素和鞘内注射等综合治疗，获很好的疗效。 结论 脑内多发性结核瘤是一种特殊类型的颅内结核病变，综合其临床表现、影像学和脑脊液检测等特点有助于临床诊断。采用强化抗结核、激素和鞘内注射等综合疗法为佳。

Clinical analysis on 13 cases with multiple intracranial tuberculomas

Objective To investigate the clinical features and the methods of diagnosis and treatment for multiple intracranial tuberculomas. Methods 13 patients with multiple intracranial tuberculomas were retrospectively analyzed from January 2004 to December 2007 in Shandong Chest Hospital. Results The clinical presentations mostly consisted of headache(11/13),fever(10/11),vomiting(7/11) and increased intracranial pressure(8/13).Cell count from cerebral spinal fluid(CSF) was high in 11 cases.Extracranial tuberculosi...