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目的 研究新型隐球菌性脑膜炎的临床及影像学特点。方法 分析 4 1例新型隐球菌性脑膜炎患者的临床及电子计算机体层扫描 (CT)、磁共振成像 (MRI)资料。结果 新型隐球菌性脑膜炎的临床特点为脑膜刺激征和颅内高压 ,影像学表现为脑积水、脑室扩大、脑膜强化、血管周围间隙扩张等。结论 新型隐球菌性脑膜炎临床表现复杂 ,误诊率高 ,影像学检查有助于帮助早期诊断 ,确诊仍依靠病原学检查。
Objective To study the clinical and imaging features of cryptococcal meningitis. Methods Clinical and computed tomography (CT) and magnetic resonance imaging (MRI) data of 41 patients with cryptococcal meningitis were analyzed. Results The clinical features of cryptococcal meningitis were meningeal irritation and intracranial hypertension. The imaging manifestations were hydrocephalus, ventricular enlargement, meningeal enhancement and perivascular gap expansion. Conclusion The clinical manifestations of cryptococcal meningitis are complicated and the rate of misdiagnosis is high. Imaging examination can help to diagnose early. The diagnosis still depends on etiological examination.