患儿,男,9岁。自入院前1个月开始无诱因出现头痛、呕吐,伴有发烧,体温38℃左右,以下午为重,在当地医院按上感治疗10ｄ余,症状仍未缓解,且头痛渐加重,呕吐呈喷射性,以“结核性脑膜炎”收入我院。体检:体温375℃,意识清,双眼内斜视,瞳孔等大同圆,光反射存在,心肺正常,肝脾不大,脑 Children, male, 9 years old. One month before admission, there was no incentive to induce headache, vomiting, fever, body temperature about 38 ℃, the afternoon was heavy, according to the local hospital treatment for more than 10d, the symptoms have not been alleviated, and progressive headache gradually increased, vomiting was Jet, to “tuberculous meningitis” income in our hospital. Physical examination: body temperature 375 ℃, consciousness, eyes strabismus, pupils and other Datong round, light reflex exists, normal heart and lungs, liver and spleen, brain