结核菌感染,在颅内形成肉芽肿,称脑结核瘤。随着抗结核药物的广泛应用,其发病率有所下降,国内部分地区统计,约占同期肿瘤的1～2.5%,而其他落后国家发病率较高。现将我院收治的4例脑结核瘤病人,分析报告如下:临床资料例1 男,32岁,主因左上肢间断抽搐5年,头痛、呕吐3个月,于1973年5月3日入院。无结核病史。查体:一般情况好,双眼视乳头水肿,左侧腹壁反射减弱,余未见异常,脑脊液压力280mmH_2o,脑脊液化验正常;胸透正常;脑血管造影提示:右额顶占位性病变。术中见:肿瘤与硬脑膜粘连,瘤结节呈圆形,突入脑内,质硬,血运 Mycobacterium tuberculosis infection, granuloma formation in the skull, said brain tuberculosis. With the widespread use of anti-TB drugs, the incidence has declined, some parts of the country statistics, accounting for about 1 to 2.5% of the same period, while other countries with a higher incidence of backward countries. Now in our hospital admitted 4 cases of brain tuberculosis patients, the analysis is as follows: Clinical data 1 male, 32 years old, mainly due to intermittent left upper limb convulsions for 5 years, headache, vomiting for 3 months, on May 3, 1973 admitted. No history of tuberculosis. Physical examination: the general situation is good, binocular papilledema, left abdomen reflex decreased, I no abnormalities, cerebrospinal fluid pressure 280mmH_2o, cerebrospinal fluid test is normal; thoracic normal; cerebral angiography prompted: right forehead occupying lesions. See intraoperative findings: tumor and dura adhesion, tumor nodules were round, broke into the brain, hard, blood