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结核性脑膜炎(TBM)并发全动脉炎时,常引起缺血性脑梗塞,有人报告发生率病理为41%,CT为28.1%。作者报告确诊为TBM的65例,年龄均<14岁。据脑CT表现分为:Ⅰ组25例,有梗塞;Ⅱ组40例,无梗塞。Ⅰ组中昏迷和颅内高压多于Ⅱ组(P<0.05);颅神经麻痹(主要为动眼和面神经)和脑膜体征也多见,但无显著差异。两组均有全身或局灶性抽搐。Ⅰ组均有单侧舞蹈手足徐动症,提示对侧尾状核梗塞。其局灶性运动障碍与CT定位符合。Ⅰ组中23例(92%)梗塞位于颈动脉系统,仅2例(8%)位于椎基底动脉系统。Ⅰ组CT示脑积水和基底池病
Tuberculous meningitis (TBM) complicated by total arteritis, often cause ischemic cerebral infarction, one reported incidence of 41% pathology, CT was 28.1%. The authors report the diagnosis of TBM in 65 patients, all <14 years of age. According to the performance of brain CT are divided into: Ⅰ group of 25 patients with infarction; Ⅱ group of 40 patients without infarction. Coma and intracranial hypertension in group I were more than those in group II (P <0.05); cranial nerve palsy (mainly oculomotor and facial nerve) and meningeal signs were more common, but there was no significant difference. Both groups had systemic or focal convulsions. Group Ⅰ had one-sided dance athetosis, suggesting contralateral caudate nucleus infarction. Its focal movement disorders and CT location line. Twenty-three (92%) infarctions in group Ⅰ were found in the carotid system, and only 2 (8%) were in the vertebrobasilar system. Group Ⅰ CT showed hydrocephalus and basal pool disease