一、如何进行诊断本病例有发热、头痛、癫痫发作、眼底视神经乳头水肿、右侧肢体轻偏瘫、脑膜刺激征阳性等特点。脑脊液检查压力高,有炎性改变,以淋巴细胞占优势,蛋白质增高。应考虑下列疾病:结核性脑膜炎:本病起病缓慢,但有的病例发病较急。早期有头痛、头晕、食欲不振、无力、微热等,1～2周后颈项强直、克(Ker-nig)氏征阳性等。脑膜刺激征逐渐明显,伴恶 First, how to diagnose The case of fever, headache, seizures, fundus papilledema, hemiplegia right limb, meningeal irritation sign positive and so on. High pressure of cerebrospinal fluid examination, inflammatory changes to lymphocyte predominance, protein increased. The following diseases should be considered: Tuberculous meningitis: The disease onset is slow, but in some cases more acute onset. Early headache, dizziness, loss of appetite, weakness, fever and so on, 1 to 2 weeks after neck stiffness, Ker (Ker-nig) sign positive and so on. Meningeal irritation gradually obvious, with evil