中枢神经系统结核以结核性脑膜炎或结核瘤为多见。结核性脑脓肿罕见,复习世界文献只发现57例,其中仅16例能符合下列标准而被确认:一、外科或尸检材料肉眼检查见脑实质内脓肿,中央脓腔含脓液;二、脓肿壁主要由血管性肉芽组织组成,内含以多形核白血球为主的急,慢性炎症细胞;三、在脓液(或脓肿壁),只有结核分支杆菌培养或涂片阳性。本文报告,例男性,28岁,因咽喉痛2月,发热,寒颤及左侧颈部和下颌部肿胀一周而入院,经检查,证实为咽后间隙分叶脓肿,经青霉素,四环素静脉滴注与胸骨上切口脓液引流治疗,于入院后第13天出现头、颈病,第23天并有低热、颈僵直、淡漠,失定向与嗜眠,结合脑脊液检查与结核菌素第Ⅱ级强度皮肤试验阳性而拟诊为结核性脑膜 Central nervous system tuberculosis with tuberculous meningitis or tuberculosis is more common. Tuberculous brain abscess rare, the review of the world literature only 57 cases were found, of which only 16 cases can be confirmed in line with the following criteria: First, the surgical or autopsy material Macroscopic examination to see the intraparenchymal abscess, the central abscess contains pus; Second, abscess The wall is mainly composed of vascular granulation tissue, containing mainly polymorphonuclear leukocyte-based acute and chronic inflammatory cells; Third, in the pus (or abscess wall), only the Mycobacterium tuberculosis culture or smear positive. This article reports, male, 28 years old, due to sore throat in February, fever, chills and left neck and jaw swelling one week and admitted to the hospital, after examination, confirmed the posterior pharyngeal lobulation abscess, penicillin, tetracycline intravenous infusion And suprasternal incision pus drainage treatment, on the 13th day after admission, head and neck disease, the first 23 days and have fever, neck stiffness, indifference, loss of orientation and sleepiness, combined with cerebrospinal fluid examination and tuberculin grade Ⅱ-intensity skin Test positive to be diagnosed as tuberculous meningitis