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本文搜集我院1987年以来CT拟诊为脑结核瘤87例,其中33例资料较完整,并经抗结核药物治疗,脑内病灶消失、缩小而予以证实。 1 临床资料 本组33例,男15例,女18例。年龄2～45岁,10岁以下16例,10岁以上27例。最小年龄2岁,最大45岁。结核菌素试验阳性10例,胸片发现肺部有结核病灶的8例。全部病例均有癫痫、头痛症状。脑CT扫描均在平扫后做增强扫描。33例中发现病灶35个。单发31例,多发2例。全部病灶均位于幕上。位于大脑顶叶20例,颞叶8例,枕叶4例,额叶2例。经抗结核药物治疗2～4个月后CT复查,脑内结核病灶消失23例,病灶明显缩小、脑水肿减轻10例。
This article collected from 1987 in our hospital to be diagnosed as CT of 87 cases of brain tuberculoma, of which 33 cases of more complete information, and anti-TB drugs, brain lesions disappear, to be confirmed. 1 Clinical data The group of 33 patients, 15 males and 18 females. Aged 2 to 45 years old, under 10 years old in 16 cases, 27 cases over the age of 10. The youngest is 2 years old and the youngest is 45 years old. Tuberculin test was positive in 10 cases, chest X-ray findings in 8 cases of tuberculosis in the lungs. All cases have epilepsy, headache symptoms. Brain CT scan enhancement scan after plain scan. Thirty-five lesions were found in 33 cases. Single in 31 cases, multiple in 2 cases. All lesions are located in the curtain. Located in the parietal lobe 20 cases, 8 cases of temporal lobe, occipital lobe 4 cases, frontal lobe in 2 cases. After anti-TB drug treatment 2 to 4 months after CT review, brain tuberculosis disappeared in 23 cases, lesions were significantly reduced, 10 cases of brain edema relief.