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本文报告12例颅内结核瘤的临床表现、辅助检查、诊断及治疗结果.12例中,男3例,女9例,年龄2～76岁,除1例小儿外,其余均为成人.既往无颅外结核病史者5例,有活动性颅外结核病者7例.主要表现为头痛8例,癫痫6例、视乳头水肿5例,嗜睡、发热、轻偏瘫、体重减轻各3例,咳嗽、盗汗各2例,乏力、迟钝、精神错乱、咯血、眼球震颤、球麻痹、外展神经麻痹、臂部萎缩、肉芽肿性眼色素层炎及定向力障碍各1例.7例行结核菌素皮试5例阳性.9例摄X线胸片4例异常,头颅X线平片除2例鞍背骨质稀疏、1例岩骨破坏外,余均正常.12例脑电
This paper reports 12 cases of intracranial tuberculoma clinical manifestations, laboratory examinations, diagnosis and treatment results in 12 cases, 3 males and 9 females, aged 2 to 76 years, with the exception of 1 child, the rest are adults .Previous No history of extracranial tuberculosis in 5 cases, 7 cases of active extracranial tuberculosis.The main manifestations of 8 cases of headache, epilepsy in 6 cases, 5 cases of papilledema, drowsiness, fever, hemiparesis, weight loss in 3 cases, cough , 1 case of night sweats, 2 cases of fatigue, drowsiness, confusion, hemoptysis, nystagmus, bulbar palsy, abducens paralysis, atrophy of the arm, granulomatous uveitis and disorientation in 1 case. 5 cases were positive skin test .9 cases of X-ray chest abnormalities in 4 cases, skull X-ray film in addition to 2 cases of saddle dorsal bone thinning, 1 case of bone destruction, the rest were normal .12 cases of EEG