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颅盖骨结核罕见,仅占骨结核的0.2%~1.3%。作者分析5例颅盖骨结核病人的CT表现,以评价CT的作用。 头颅平片至少包括正、侧位,CT以10mm或5mm层厚,获得增强前、后的骨窗和软组织窗图像。5例病人,男2例,女3例,11~37岁。4例有局限性头皮肿胀,呈无痛性、柔软、无搏动。1例有癫痫发作和左半身轻瘫,5例均有血沉加快,结核菌素试验均为强阳性。颅骨干片表现为边界清楚的孤立的溶骨性病灶,周边为微细的环状硬化线。病变位于额骨2
Cranial tuberculosis is rare, accounting for only 0.2% to 1.3% of tuberculosis. The authors analyzed the CT findings of 5 patients with calyx tuberculosis to evaluate the role of CT. Skull plain at least including the lateral and lateral, CT to 10mm or 5mm layer thickness, to obtain enhanced before and after the bone window and soft tissue window images. 5 patients, 2 males and 3 females, 11 to 37 years old. 4 cases have limitations scalp swelling, was painless, soft, non-beating. One patient had seizures and left hemiparesis. All patients had fast erythrocyte sedimentation rate and strong positive tuberculin test. Skull dry film showed a clear border isolated osteolytic lesions, the surrounding fine ring hardening line. Lesions in the frontal bone 2