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患者,男,33岁,汉族。以突发头痛2月余,尿潴留17天,双下肢无力12天入院。既往否认有结核、糖尿病史。检查:被动体位,左侧眼底视盘边界不清,双眼向左侧视出现水平性眼震,快相向左;伸舌偏左,双下肢肌张力高,左下肢肌力Ⅲ级,右下肢肌力Ⅱ级,双侧 T2以下痛觉减退,四肢瞻反射（+）,腹壁反射（-）,双侧Babinski Sign（+）,脑膜刺激征（+）。外院曾查头颅 CT示:脑结核瘤;多次查脑脊液常规及生化:颜色为黄色微浊至草绿色,蛋白14.7-20g/L,白细胞（175-2400）×106/L,淋巴细胞40％-92％,
Patient, male, 33 years old, Han nationality. In February with unexpected headache, urinary retention for 17 days, 12 days of weakness in both lower limbs admitted to hospital. Previously denied a history of tuberculosis, diabetes. Check: passive position, the left fundus disc boundary is unclear, both eyes appear to the left side of the horizontal nystagmus, the fast phase to the left; stretch tongue left, lower extremity muscle tension, left lower extremity muscle strength III, right lower extremity muscle strength Grade Ⅱ, bilateral pain below T2, dysmorphic reflex (+), abdominal reflex (-), bilateral Babinski Sign (+), meningeal irritation (+). Outside the hospital had checked head CT showed: brain tuberculosis; check cerebrospinal fluid routine and biochemical: color yellow turbid to grass green, protein 14.7-20g / L, white blood cells (175-2400) × 106 / L, lymphocytes 40% -92%,