患者女性,30岁,汉族,农民.入院前四个月间断头痛、发热伴有肢体发麻及智能降低,曾在院外用抗生素治疗无效.1982年12月下旬出现恶心、呕吐及神志障碍来我院检查.颈部稍有抵抗,克氏征、布氏征均可疑,瞳孔右(6mm)>左(4mm),未发现定位体征,疑结核性脑膜炎(以下简称结脑)、散发性脑炎(以下简称散脑)待排除收入院. Female patient, 30 years old, Han nationality, farmer .In the first four months before admission, her headache, fever and numbness were reduced, and she was ineffective with antibiotics outside the hospital .Nause of nausea, vomiting and delirium in late December 1982 The neck was slightly resistant, Kirschner’s sign and Brigitte’s sign were both suspicious, the right pupil (6mm)> left (4mm), no signs of localization, suspicious tuberculous meningitis (hereinafter referred to as knot brain), sporadic brain Inflammation (hereinafter referred to as scattered brain) to be excluded income homes.