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.
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
关键词
脑内结核瘤
核磁共振成像
诊断
治疗
intra-cerebral tuberculoma
magnatic resonance imaging
diagnosis
therapy
