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脑结核瘤通常位于小脑、基底节、大脑半球,尤其额叶区,少数位于胼胝体、四叠体、桥小脑角、眶后区、前视通路和鞍上区等,伴有不对称的脑积水和室管膜炎的脑室内结核瘤是极其罕见的,作者在417例结核性脑膜炎中仅发现4例。 4例的发病年龄2～5岁,男女各2例,始发症状为发热、头痛、无力、嗜睡等,伴癫痫大发作1例,意识障碍和颈强直2例,动眼神经麻痹和轻偏瘫1例,视乳头水肿1例,无局部体征一例。脑脊液压力均增高,3例糖降低,细胞计数40～240个/mm~3,
Cerebral tuberculomas are usually located in the cerebellum, basal ganglia, hemispheres, especially the frontal lobes, a few in the corpus callosum, tetrads, bridge cerebellum, orbital area, anterior optic pathways and the suprasellar zone, with asymmetric brain volume Water and tubulointerstitial tuberculous meningitis are extremely rare, with only 4 of the 417 cases of tuberculous meningitis found by the authors. 4 cases of age 2 to 5 years old, 2 males and 2 females, the onset of symptoms of fever, headache, weakness, lethargy, etc., with a large epileptic seizures in 1 case, disturbance of consciousness and neck stiffness in 2 cases, oculomotor nerve paralysis and hemiparesis 1 case, papilledema in 1 case, no local signs of a case. Cerebrospinal fluid pressure were increased, 3 cases of sugar decreased, the cell count 40 ~ 240 / mm ~ 3,