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中国防痨杂志 ›› 1999, Vol. 21 ›› Issue (1): 28-30.

• 论著 • 上一篇    下一篇

老年结核性脑膜炎脑积水35例临床分析

陈永平;李庆兴;苏刚;吴恩福;   

  1. 温州医学院附属第一医院;
  • 收稿日期:1998-03-12 修回日期:1998-09-09 出版日期:1999-01-10 发布日期:1999-01-10

Clinical analysis of 35 senile cases of tuberculous meningitis with hydrocephalus

hen Yongping,Li Qingxing,Su Gang,et al.   

  1. Department of Infectious Disease,The First Affiliated Hospital of Wenzhou Medical College 325000
  • Received:1998-03-12 Revised:1998-09-09 Online:1999-01-10 Published:1999-01-10

摘要: 目的探讨老年结核性脑膜炎(结脑)并发中?重度脑积水的临床特征与影像学变化?方法回顾性分析经影像学证实的老年结脑并发中?重度脑积水35例?结果大脑导水管梗阻占82.9%,基底池粘连占20.0%?脑脊液(CSF)蛋白定量?白蛋白?IgG升高与脑积水有关?结论脑膜纤维蛋白渗出?粘连与老年性脑室变窄是造成脑积水的主要因素?CT与CSF中蛋白指标监测对脑积水的早期诊断?预后评估具有重要价值?

关键词: 结核.脑膜, 脑积水, CT, MRI

Abstract: Objective To study on the relationship between clinical and imaging feature in senile sases of tuberculous meningitis with moderate and severe hydrosephalus.Methods Retrospectively analysed 35 senile cases of tuberculous meningitis with hydrocephalus diagnoed by computed tomography(CT) and nuclear magnetic resonance imaging(MRI).Results 82 9% cases with obstructive of aquaeductus cerebri,20% cases with cerebral base cistern adhesion.Increase of cerebrospinal fluid(CSF)protein quantity,Albumin and IgG were relative to hydrocephalus.Conclusion Cerebral membrance fibrin penetration,adhesion and senile stenosis of ventricles of the brain result to hydrocephalus.CT imaging and CSF protein markers were of important value for earlier diagnosis and prognosis.

Key words: Tuberculosis, meningeal, Hydrocephalus, CT