患儿，男，１２岁。持续发热、头痛、呕吐３个月伴右眼内斜视半个月。曾在某医院住院近１个月诊断不明。疑诊结核性脑膜炎（结脑）收入我科。体检：ＫＴ３８５℃，一般状态可，右眼外展神经瘫“＋”，稍烦躁不安。颈软，心肺无著征。肝脾未触及，生理反射存在，病理反射未引 Children, male, 12 years old. Continuous fever, headache, vomiting 3 months with right eye esotropia half a month. Had a hospital for nearly 1 month diagnosis is unknown. Suspected tuberculous meningitis (knot brain) income in our department. Physical examination: KT38  5 ℃, the general state can be, right eye outreach nerve paralysis “+”, slightly irritable. Neck soft, no signs of cardiopulmonary. Liver and spleen not touched, there is physiological reflection, pathological reflex cited