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颅脑结核系结核菌经血循环至脑膜及脑组织内引起的。目前仍是黑龙江省尤其是北部地区的高发结核病之一。以往确诊方法主要依靠临床表现及腰穿脑脊液(CSF)检验。对于典型病例诊断不难,但对于临床表现及CSF检验均不典型的病例,诊断尚存在一定困难。部分以癫痫发作为主要表现的病人,常常被误诊为脑囊虫病。而那些伴高热、昏迷及伴随神经系统定位体征的病人误诊为其它类型脑膜炎及颅内占位性病变等而就
Mycobacterium tuberculosis of the brain blood circulation to the meninges and brain tissue caused. Heilongjiang Province is still one of the high incidence of tuberculosis in the northern region. The previous diagnosis depends mainly on clinical manifestations and lumbar puncture cerebrospinal fluid (CSF) test. For the typical case diagnosis is not difficult, but for the clinical manifestations and CSF tests are not typical cases, there are still some difficulties in the diagnosis. Some patients with seizures as the main performance, often misdiagnosed as cerebral cysticercosis. And those with fever, coma and patients with signs of neurological location misdiagnosed as other types of meningitis and intracranial space-occupying lesions, etc.