对以偏侧舞蹈症为首发表现的结核性脑膜炎1例分析如下。1病历摘要男,37岁。因反复右侧肢体不自主舞动5 d入院。查体:BP 100/60 mm Hg,神志清楚,言语清晰,烦躁不安,见右侧肢体不自主舞动,对答切题,智力正常。颅神经征阴性。颈软,双肺呼吸音稍减弱,无明显啰音,心腹无异常征。左侧肢体肌张力、肌力正常,右侧肢体肌张力稍减低,肌力Ⅴ-级。腱反射(++),病理征阴性。 An analysis of 1 case of tuberculous meningitis, with chorea as the first manifestation, is as follows. 1 medical record summary male, 37 years old. Due to repetitive right limb involuntary galloping 5 d admission. Physical examination: BP 100/60 mm Hg, conscious, clear speech, irritability, see the right limb involuntary movements, the answer questions, mental normal. Negative cranial nerve sign. Neck soft, breath sounds slightly weakened lungs, no obvious rales, no abnormal constellation levy. Left limb muscle tone, muscle strength, right lower body muscle tone slightly lower, muscle Ⅴ - level. Tendon reflex (++), pathology sign negative.