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回顾分析 18例脑结核瘤临床表现、影像学特点、诊断和治疗。发现脑结核瘤患者多为青少年 (占72 .2 % ) ,颅外结核史多不明确 ,以颅高压为主要表现。影像学可有特征性表现。临床诊断较困难 ,易误诊为颅内肿瘤。诊断明确且无明显颅高压首选抗结核化疗 ,颅高压明显、癫痫频繁、不能定性等可手术治疗。手术完整摘除效果满意。
Retrospective analysis of 18 cases of brain tuberculoma clinical manifestations, imaging features, diagnosis and treatment. Found that most patients with brain tuberculosis adolescents (72.2%), extracranial tuberculosis history is not clear to the main manifestations of intracranial hypertension. Imaging can have characteristic performance. Clinical diagnosis is more difficult, easily misdiagnosed as intracranial tumors. Diagnosis is clear and no obvious antihypertensive preferred anti-TB chemotherapy, significant intracranial hypertension, epilepsy, can not be qualitative and other surgical treatment. Complete removal of surgery satisfactory results.