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结核性脑膜炎伴发脑和/或蛛网膜下腔出血者临床甚少见,常因脑脊液呈血性而误诊为自发性蛛网膜下腔出血(SAH)致延误治疗。1960年Epnkmah首次报告1例结核性脑膜炎伴蛛网膜下联出血,作者推测出血原因,可能是由于过敏造成血管坏死而出血”’。近10年国内文献仅见3例误诊报道?
Tuberculous meningitis associated with brain and / or subarachnoid hemorrhage are rare clinical, often due to cerebrospinal fluid was bloody and misdiagnosed as spontaneous subarachnoid hemorrhage (SAH) caused by delayed treatment. Epnkmah reported for the first time in 1960 a case of tuberculous meningitis with subarachnoid hemorrhage, the authors speculated that the cause of bleeding may be due to vascular necrosis due to allergic bleeding. ’’ In the past 10 years, only 3 cases of domestic literature misdiagnosis reported?