不典型结核性脑膜炎的临床与CT 分析

本文旨在探讨诊断不典型结核性脑膜炎的方法，以避免误诊，减少死亡率。方法回顾性分析了２４例结核性脑膜临床资料，ＣＴ表现及误诊原因。结论：结核性脑膜炎极易误诊，正确诊断是治愈患者的关键因素，病的不同阶段出发，综合分析，才能得以确确。

Clinical and CT analysis of atypical tuberculous meningitis

Purpose:To investigate the diagnostic methods for atypical tuberculous meningitis in order to avoid misdiagnosis and reduce mortality.Methods:Clinical data,CT manifestations and causes of misdiagnosis were analysed retrospectively in 24 patients with tuberculous meningitis.Results:The clinical manifestations of tuberculous meningitis were not specific in its early and middle course and often indistinguishable from other intracranial infections. The laboratory parameters as CSF etc. and CT signs were also not characteristic.The typical positive findings might be displayed in the repeated follow up examinations.A comprehensive consideration according to the different stages of the disease are necessitated in identification of the disease.Conclusion:Tuberculous meningitis is easily to be misdiagnosed.Correct diagnosis is the key factor for cure.