结核性脑膜炎和锥体外运动合并出现,在印度和荷兰文献中屡有报告。作者报告一例,指出诊断的早期线索。患儿为2岁半男孩,因发热、呕吐、不安10天入院。体温39.1℃,脉搏100次/分,呼吸20次/分,可见明显的Down’s综合征。神经系统检查无明显异常。血白细胞13,700个/mm~3中性白细胞78%,淋巴细胞13%,单核细胞3%,杆状核细胞6%;血清钠131mEq/l,尿素氮、钙、SGOT正常。脑脊液白细胞331/mm~3,淋巴细胞88%,多形核白细胞10%,单核细胞2%,蛋白105mg/dl,糖22mg%,常规细菌培养阴性,革兰氏染色涂片未发现细菌,三周后脑脊液分离出结核杆菌。入院4天出现全身抽搐,两侧眼球同时转向右侧,左侧偏瘫。2小时后出现右侧肢体不自主舞蹈样动作,以前臂明显,并见突然的、短暂的手指伸直,剧烈的肩关节上举和半 The combined occurrence of tuberculous meningitis and extrapyramidal movement is frequently reported in the Indian and Dutch literature. The authors report an example of the early clues to diagnosis. Children aged 2 years and a half, due to fever, vomiting, restlessness 10 days admission. Body temperature 39.1 ℃, pulse 100 beats / min, breathing 20 beats / min, visible Down’s syndrome. Nervous system examination no obvious abnormalities. Blood leukocytes 13,700 / mm ~ 3 78% of neutrophils, lymphocytes 13%, monocytes 3%, 6% of stem cells; serum sodium 131mEq / l, urea nitrogen, calcium, SGOT normal. Cerebrospinal fluid leukocytes 331 / mm ~ 3, lymphocytes 88%, polymorphonuclear leukocytes 10%, monocytes 2%, protein 105mg / dl, sugar 22mg%, conventional bacterial culture negative, Gram stain smear found no bacteria, Three weeks after the separation of cerebrospinal fluid Mycobacterium tuberculosis. 4 days admitted to the body convulsions, both sides of the eye while turning to the right, left hemiplegia. 2 hours after the emergence of the right limb involuntary dance-like movements to forearm obvious, and see the sudden, short finger straightening, severe shoulder lift and half