患者女,27岁,因发热、头痛伴右侧肢体瘫痪20天,在当地医院诊为急性血行播散型肺结核合并结核性脑膜炎,对症治疗7个月无好转而于1989年11月28日转入我院。体检:双瞳孔等大,颈抵抗。布、克氏征(+),双膝腱反射亢进,右踝阵挛(+),右巴氏征(+),右侧肢体肌力Ⅱ级。脑脊液无色,清,细胞数11×10~6/L,潘氏反应微 Female, 27 years old, due to fever, headache with paralysis of the right limb for 20 days, diagnosed with acute hematogenous disseminated tuberculosis with tuberculous meningitis in the local hospital, symptomatic treatment without improvement for 7 months In November 28, 1989 Into our hospital. Physical examination: double pupil, neck, neck resistance. Cloth, Kirschner sign (+), double tendon hyperreflexia, right ankle clonus (+), right Bashang sign (+), right limb muscle strength Ⅱ level. Cerebrospinal fluid colorless, clear, cell number 11 × 10 ~ 6 / L, Pan’s reaction micro