摘要
目的探讨粟粒性结核性脑膜脑炎的临床及影像学特点。方法回顾性分析2例粟粒性结核性脑膜脑炎患者的临床资料。结果本组患者男、女各1例,发病年龄分别为45、76岁,结核病病程1～5年。临床表现以发热、头痛为主,均为急性起病且有活动性肺结核,其中1例合并有胸椎结核。头颅MRI检查示2例患者脑膜及脑实质内均可见大小相似的粟粒性结核病灶,增强扫描可见病灶强化。经抗结核治疗1个月后,复查头颅MRI示病灶消失。结论粟粒性结核性脑膜脑炎患者常伴活动性结核病,头颅MRI检查示颅内大量粟粒性结核病灶且增强扫描后明显强化为其特征性影像学表现,抗结核治疗的效果较好。
Objective To investigate the clinical and imaging features of miliary tuberculosis meningoencephalitis. Methods The clinical data of 2 patients with miliary tuberculosis meningoencephalitis were analyzed retrospectively. Results There was one male patient and one female patient in this group, the onset age was 45 and 76 years old respectively, and the tuberculosis course was 1 - 5 years. The main clinical manifestations were fever and headache with acute onset and active pulmonary tuberculosis, and 1 case also complicated with thoracic spine tuberculosis. MRI examination showed some miliary tuberculosis lesions with similar size at the meningeal and intraparenchymal, and the lesions were enhanced with the enhanced scanning. After the antituberculosis treatment For 1 month, the reexamination of MRI showed that the lesions were disappeared. Conclusions Patients with miliary tuberculosis meningoencephalitis are usually with active tuberculosis. MRI examination showed some miliary tuberculosis lesions intracranial and the lesions enhanced with the enhanced scanning is the characteristic imaging manifestation. The anti-tuberculosis treatment is effective.
出处
《临床神经病学杂志》
CAS
北大核心
2012年第5期375-377,共3页
Journal of Clinical Neurology
关键词
粟粒性结核性脑膜脑炎
临床特点
影像学
miliary tuberculosis meningoencephalitis
clinical feature
imaging
