论文部分内容阅读
目的分析中枢神经系统结核病的临床表现、病理特征。方法对 32例经尸检病理证实的中枢神经系统结核病例进行回顾性分析 ,并探讨其误诊原因。结果尸检发现以脑膜病变为主 ,大脑实质、小脑、脑干、脑室及脑血管和脊髓均有病变。临床表现除脑膜刺激症、颅高压外 ,可有中枢神经系统局灶损害症状且颅高压是其主要的死因。结论中枢神经系统结核病的临床表现和预后与结核的病变性质和部位密切相关 ,认识其病理分型有助于提高诊断率
Objective To analyze the clinical manifestations and pathological features of central nervous system tuberculosis. Methods A retrospective analysis of 32 cases of central nervous system tuberculosis confirmed by autopsy was conducted and the causes of misdiagnosis were discussed. Results The autopsy found that the main meningeal lesions, brain parenchyma, cerebellum, brainstem, ventricular and cerebrovascular and spinal cord lesions. Clinical manifestations In addition to meningeal irritation, intracranial hypertension, may have focal damage to the central nervous system symptoms and intracranial hypertension is its main cause of death. Conclusion The clinical manifestations and prognosis of tuberculosis in the central nervous system are closely related to the nature and location of the lesions of tuberculosis. Recognizing the pathological classification of tuberculosis will help improve the diagnosis rate